NPIMap

Organization Active NPI

Psych Counseling Medical Office of Sacramento Inc

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1831279298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A049811 Issued in CA
Legal business name
PSYCH COUNSELING MEDICAL OFFICE OF SACRAMENTO INC
Practice address
4250 Auburn Blvd
Sacramento, CA 95841
Phone
(916) 489-3336
Fax
(916) 488-9147
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leslie Ann Hirschaut, MDNPI 1316133754
Title
Psychiatrist
Phone
(916) 202-5282

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A049811 CA Primary

Addresses

Primary practice location

4250 Auburn Blvd
Sacramento, CA 95841

Mailing address

PO Box 2118
Loomis, CA 95650
Phone (916) 202-5282

Other identifiers 1

IdentifierTypeStateIssuer
00A498710MedicaidCA

Other names 1

  • Leslie Hirschaut MD Other name

National Provider Directory

National Provider Directory

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831279298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2118",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "95650",
            "telephone_number": "916-202-5282",
            "fax_number": "916-660-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 AUBURN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95841",
            "telephone_number": "916-489-3336",
            "fax_number": "916-488-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH COUNSELING MEDICAL OFFICE OF SACRAMENTO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIRSCHAUT",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "916-202-5282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A049811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A498710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leslie Hirschaut MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.