Organization Active NPI

Capitol City Psychiatry

  • Psychiatry Physician
  • Roseville, CA
National Provider Identifier
1568072767
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CAPITOL CITY PSYCHIATRY
Practice address
300 Harding Blvd Ste 118
Roseville, CA 95678-2472
Phone
(916) 742-5236
Fax
(916) 742-5237
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Michael McAndrew, MD
Title
President
Phone
(916) 742-5236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

300 Harding Blvd Ste 118
Roseville, CA 95678-2472

Mailing address

300 Harding Blvd Ste 118
Roseville, CA 95678-2472
Phone (916) 742-5236

National Provider Directory

National Provider Directory

Locations

300 Harding Blvd
Ste 118
Roseville, CA 95678
Phone (916) 742-5236

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1568072767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HARDING BLVD STE 118",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782472",
            "telephone_number": "916-742-5236",
            "fax_number": "916-742-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARDING BLVD STE 118",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782472",
            "telephone_number": "916-742-5236",
            "fax_number": "916-742-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CITY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "MCANDREW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-742-5236",
        "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": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.