Evizzit of California Psychiatry PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EVIZZIT OF CALIFORNIA PSYCHIATRY PC

Practice address

240 Spruce St
Gridley, CA 95948-2216

Phone

(530) 846-9000

NPI assigned

Sep 12, 2023

Last updated

Sep 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy Walker

Title

Physician Services Director

Phone

(615) 418-1669

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1619754769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 42ND ST STE 575",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661060",
            "telephone_number": "855-185-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-846-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIZZIT OF CALIFORNIA PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PHYSICIAN SERVICES DIRECTOR",
        "authorized_official_telephone_number": "615-418-1669"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Duran
• Addison Dwyer, PTA
• Carlene Jenae Dyer
• Cordelia Egure, PHARMD
• Evergreen at Gridley SNF, L.L.C. (Evergreen Gridley Healthcare Center)
• Excel-a-Care Emergency Physicians, a Medical Corporation
• Ana-Alicia Marquez Fahl
• Sarah Fairbanks, ACSW
• Mary Katheen Falconer
• Barry L Fallesen

• Psychiatry Physician in Gridley, CA
• Providers in Gridley, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.