Individual provider Active NPI

Andrea Hindes, PH. D

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1740498062
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21725 Issued in CA
Practice address
2345 Fair Oaks Blvd
Department of Psychiatry
Sacramento, CA 95825-4708
Phone
(916) 973-5300
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY21725 CA Primary

Addresses

Primary practice location

2345 Fair Oaks Blvd
Department of Psychiatry
Sacramento, CA 95825-4708

Mailing address

2345 Fair Oaks Blvd
Department of Psychiatry
Sacramento, CA 95825-4708
Phone (916) 973-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY21725CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1740498062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 FAIR OAKS BLVD",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254708",
            "telephone_number": "916-973-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 FAIR OAKS BLVD",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254708",
            "telephone_number": "916-973-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDES",
        "first_name": "ANDREA",
        "credential": "PH. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.