Anthony Kelada Psychiatry Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ANTHONY KELADA PSYCHIATRY INC

Practice address

991 Reserve Dr Ste B
Roseville, CA 95678-1350

Phone

(916) 789-8811

Fax

(916) 789-8809

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Anthony Kelada, MDNPI 1659790624

Title

President

Phone

(916) 218-2277

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Anthony Kelada, M.D.

  • Psychiatry Physician
  • Roseville, CA
  • NPI 1659790624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1679120836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 RESERVE DR STE B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781350",
            "telephone_number": "916-789-8811",
            "fax_number": "916-789-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 RESERVE DR STE B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781350",
            "telephone_number": "916-789-8811",
            "fax_number": "916-789-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY KELADA PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "KELADA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-218-2277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659790624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nnaemeka G Anosike, NP-C
• Mohsin Ansari, M.D.
• Alyssa Ansel
• Susan Adelia Anthes-Todd, ASW, MSW, MBA
• Anthony G. Jammal Home Care LLC
• Alexander Antipov, DDS
• Daniela Antone
• Andrey Antonenko, DDS
• Shahzad Anwar, M.D.
• Anytime Anywhere Senior Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.