Organization Active NPI

Roseville Center for Interventional Psychiatry, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, CA
National Provider Identifier
1780435529
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROSEVILLE CENTER FOR INTERVENTIONAL PSYCHIATRY, INC
Practice address
3200 Douglas Blvd Ste 310
Roseville, CA 95661-4238
Phone
(916) 755-6000
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Amy Ellis, MDNPI 1275737835
Title
Medical Director
Phone
(916) 755-6000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

3200 Douglas Blvd Ste 310
Roseville, CA 95661-4238

Mailing address

3200 Douglas Blvd Ste 310
Roseville, CA 95661-4238
Phone (916) 755-6000

National Provider Directory

National Provider Directory

Locations

3200 Douglas Blvd
Ste 310
Roseville, CA 95661
Phone (916) 755-6000

Practitioners & affiliated clinicians

Practitioners 1

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": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1780435529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DOUGLAS BLVD STE 310",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614238",
            "telephone_number": "916-755-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOUGLAS BLVD STE 310",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614238",
            "telephone_number": "916-755-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE CENTER FOR INTERVENTIONAL PSYCHIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-755-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.