Organization Active NPI

Psychnp Consultants Inc.

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
National Provider Identifier
1629565858
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
340111BP Issued in CA
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

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Vicky MagobetNPI 1902243827
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)CodeLicenseStatePrimary
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 Doing business as
  • Diamond House Recovery Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2155361Diamond House Detox6808 Fleming Avenue, Sacramento, CA 95828Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.