Active NPI
Barbara Jean Fattig, M.D.
- Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1558652578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A132996
- Practice address
- 1720 Capitol Ave
Ste 203
Sacramento, CA 95811-5187 - Phone
- (916) 287-7818
- NPI assigned
- Apr 25, 2011
- Last updated
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A132996 | CA | Primary |
Addresses
Primary practice location
1720 Capitol Ave
Ste 203
Sacramento, CA 95811-5187
Mailing address
1720 Capitol Ave
#203
Sacramento, CA 95811-5187
Phone (916) 287-7818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A132996 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1558652578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 CAPITOL AVE",
"address_2": "#203",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115187",
"telephone_number": "916-287-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 CAPITOL AVE",
"address_2": "STE 203",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115187",
"telephone_number": "916-287-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATTIG",
"first_name": "BARBARA",
"middle_name": "JEAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A132996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.