Placer Psychiatry Group, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PLACER PSYCHIATRY GROUP, INC.

Practice address

5157 Prior RDG
Granite Bay, CA 95746-7187

Phone

(916) 644-6474

NPI assigned

Jul 22, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan David Funk, MD

Title

Ceo/President

Phone

(916) 644-6474

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1477474807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5157 PRIOR RDG",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957467187",
            "telephone_number": "916-644-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5157 PRIOR RDG",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957467187",
            "telephone_number": "916-644-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACER PSYCHIATRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "916-644-6474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl David Petersen, MD
• Anthony L Peterson, DC
• Kenneth Pham, PHARM.D.
• Christine Pickett
• Placer County - Vista Creek
• Logan Potter
• Andrea Prichard
• Pro Dynamic Physical Therapy Inc.
• Stephen Proudfoot, BT
• Jacob Marshall Pulliam

• Psychiatry Physician in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.