Active NPI
Psychnp Consultants Inc.
- Substance Abuse Rehabilitation Facility
- Sacramento, CA
National Provider Identifier
1629565858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 340111BP
- Legal business name
- PSYCHNP CONSULTANTS INC.
- Practice address
- 6808 Fleming Ave
Sacramento, CA 95828-4103 - Phone
- (800) 205-6107
- NPI assigned
- Apr 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vicky Magobet
- Title
- Ceo/President
- Phone
- (916) 633-8353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 340111BP | CA | Primary |
Addresses
Primary practice location
6808 Fleming Ave
Sacramento, CA 95828-4103
Mailing address
12236 Watersong LN
Wilton, CA 95693-9604
Phone (916) 633-8353
Other names 2
- Diamond House Detox
- Diamond House Recovery
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2155361 | Diamond House Detox | Certificate of waiver | Sep 26, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Elk Grove, CA
- NPI 1902243827
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1366416489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1629565858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12236 WATERSONG LN",
"city": "WILTON",
"state": "CA",
"postal_code": "956939604",
"telephone_number": "916-633-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6808 FLEMING AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958284103",
"telephone_number": "800-205-6107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHNP CONSULTANTS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-13",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "MAGOBET",
"authorized_official_first_name": "VICKY",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "916-633-8353",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "340111BP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diamond House Detox",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Diamond House Detox",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Diamond House Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.