Active NPI
Betty G. Lacy, MD
- Psychiatry Physician
- Ukiah, CA
National Provider Identifier
1750431532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G67112
- Practice address
- 932 Helen Avenue
Ukiah, CA 95482-5825 - Phone
- (707) 462-8783
- Fax
- (707) 462-8783
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G67112 | CA | Primary |
Addresses
Primary practice location
932 Helen Avenue
Ukiah, CA 95482-5825
Mailing address
932 Helen Avenue
Ukiah, CA 95482-5825
Phone (707) 462-8783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090617000271 | CA | Practitioner - Psychiatry | 5799835583 | Practice locations: Ukiah, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1750431532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 HELEN AVENUE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825825",
"telephone_number": "707-462-8783",
"fax_number": "707-462-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 HELEN AVENUE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825825",
"telephone_number": "707-462-8783",
"fax_number": "707-462-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "BETTY",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G67112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.