Active NPI
Edward Nathan Applebaum, D.O.
- Psychiatry Physician
- Napa, CA
National Provider Identifier
1508874306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15846
- Practice address
- 2751 Napa Valley Corporate Dr
Napa, CA 94558 - Phone
- (856) 482-5444
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS008042L | PA | |
| Psychiatry Physician | 2084P0800X | 15846 | CA | Primary |
Addresses
Primary practice location
2751 Napa Valley Corporate Dr
Napa, CA 94558
Mailing address
1574 Gene St
Belpre, OH 45714-2114
Phone (856) 482-5444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS008042L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa County | Current | Accepting new patients | |
| County of Napa | Current | Accepting new patients | |
| State of Montana | Past | Accepting new patients |
Locations
2751 Napa Valley Corporate Dr
Bldg A
Napa, CA 94558
Phone (707) 253-4279
2751 Napa Valley Corporate Dr
Napa, CA 94558
Phone (707) 227-3900
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Napa, CA
- NPI 1164572426
-
- Public Health or Welfare Agency
- Napa, CA
- NPI 1467507699
-
- Skilled Nursing Facility
- Columbia Falls, MT
- NPI 1356351183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1508874306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1574 GENE ST",
"city": "BELPRE",
"state": "OH",
"postal_code": "457142114",
"telephone_number": "856-482-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 NAPA VALLEY CORPORATE DR",
"city": "NAPA",
"state": "CA",
"postal_code": "94558",
"telephone_number": "856-482-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEBAUM",
"first_name": "EDWARD",
"middle_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "OS008042L",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "15846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.