NPIMap

Organization Active NPI

Psychnp Consultants, Inc.

  • Substance Abuse Rehabilitation Facility
  • Elk Grove, CA
National Provider Identifier
1467129643
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PSYCHNP CONSULTANTS, INC.
Practice address
9524 Swanbrook CT
Elk Grove, CA 95758-1305
Phone
(800) 205-6107
Fax
(916) 760-4435
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vicky Magobet, NPNPI 1902243827
Title
Ceo
Phone
(916) 633-8353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

9524 Swanbrook CT
Elk Grove, CA 95758-1305

Mailing address

8624 Diamond Oak Way
Elk Grove, CA 95624-1755
Phone (916) 633-8353

Other names 1

  • Diamond House Detox Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@diamondhousedetox.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2263572Diamond House Detox9524 Swanbrook Court, Elk Grove, CA 95758Certificate of waiverJun 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Diamond House Detox5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1467129643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 DIAMOND OAK WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241755",
            "telephone_number": "916-633-8353",
            "fax_number": "916-760-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 SWANBROOK CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957581305",
            "telephone_number": "800-205-6107",
            "fax_number": "916-760-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHNP CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-09-06",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "MAGOBET",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-633-8353",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@diamondhousedetox.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9524 Swanbrook Ct",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957581305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Diamond House Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.