NPIMap

Organization Active NPI

Patricia L. Bach, PSYD, Inc., a Psychological Corporation

  • Clinical Psychologist
  • Roseville, CA
National Provider Identifier
1578939658
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22517 Issued in CA
Legal business name
PATRICIA L. BACH, PSYD, INC., A PSYCHOLOGICAL CORPORATION
Practice address
300 Harding Blvd Ste 203K
Roseville, CA 95678-2474
Phone
(916) 662-0767
Fax
(916) 652-0101
NPI assigned
Aug 12, 2015
Last updated
Aug 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Dr. Patricia Bach, PSYDNPI 1578864203
Title
Clinical Psychologist/Owner
Phone
(916) 662-0767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY22517 CA Primary

Addresses

Primary practice location

300 Harding Blvd Ste 203K
Roseville, CA 95678-2474

Mailing address

7830 Jeannie CT
Loomis, CA 95650-9314

National Provider Directory

National Provider Directory

Locations

300 Harding Blvd
Ste 203K
Roseville, CA 95678
Phone (916) 662-0767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1578939658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 JEANNIE CT",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARDING BLVD STE 203K",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782474",
            "telephone_number": "916-662-0767",
            "fax_number": "916-652-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA L. BACH, PSYD, INC., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "916-662-0767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22517",
            "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 14, 2015; 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.