NPIMap

Organization Active NPI

Panacea Services, Inc. at Harriett Eddy Middle School

  • Community/Behavioral Health Agency
  • Elk Grove, CA
National Provider Identifier
1689825218
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PANACEA SERVICES, INC. AT HARRIETT EDDY MIDDLE SCHOOL
Practice address
9329 Soaring Oaks Dr
Elk Grove, CA 95758-6586
Phone
(916) 854-4564
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Mrs. Trisha Seastrom, BA, CADC II, CAMF
Title
Executive Director
Phone
(916) 854-4564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9329 Soaring Oaks Dr
Elk Grove, CA 95758-6586

Mailing address

3353 Bradshaw Rd
Suite 106
Sacramento, CA 95827-2607
Phone (916) 854-4564

Other names 1

  • Panacea Services, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Panacea Services Inc at James Rutter Middle School52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

9329 Soaring Oaks Dr
Elk Grove, CA 95758

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1689825218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 BRADSHAW RD",
            "address_2": "SUITE 106",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272607",
            "telephone_number": "916-854-4564",
            "fax_number": "916-857-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9329 SOARING OAKS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586586",
            "telephone_number": "916-854-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA SERVICES, INC. AT HARRIETT EDDY MIDDLE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "SEASTROM",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-854-4564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, CADC II, CAMF"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panacea Services, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.