Individual provider Active NPI

Abhijit V. Ramanujam, MD

  • Psychiatry Physician
  • Folsom, CA
National Provider Identifier
1841407723
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A110934 Issued in CA
Practice address
2150 E Bidwell St
Folsom, CA 95630-6453
Phone
(916) 473-2235
NPI assigned
May 17, 2007
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A110934 CA
Psychiatry Physician 2084P0800X A110934 CA Primary

Addresses

Primary practice location

2150 E Bidwell St
Folsom, CA 95630-6453

Mailing address

2150 E Bidwell St
Folsom, CA 95630-6453
Phone (916) 473-2235

Other practice location 1

2180 Harvard St Ste 210
Sacramento, CA 95815-3318
Phone (916) 567-3500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000160 CA Practitioner - Psychiatry 2264603448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacramento Neuropsych Associates IncGroup PAC ID 3971970807, 8 clinicians

Practice addresses (Care Compare)

2150 E Bidwell St
Folsom, CA 95630-6453
Phone (916) 473-2235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110934CAMDClinical Social Worker
A110934CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Psychiatry PC Psychiatry CurrentSince Jun 1, 2018 Accepting new patients
Cep America - Psychiatry, PC Psychiatry CurrentSince Jun 1, 2018 Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
Sacramento Neuropsych Associates Inc Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatry Past Accepting new patients
Mark David Levine, MD, Psychiatry Associates, P.C. Psychiatry Past Accepting new patients
Mark David Levinem MD Sunnyvale PC Psychiatry Past Accepting new patients

Locations

2150 E Bidwell St
Folsom, CA 95630
Phone (916) 473-2235

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

5800 Stanford Ranch Rd
Ste 720
Rocklin, CA 95765
Phone (916) 473-2235

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1841407723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306453",
            "telephone_number": "916-473-2235",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306453",
            "telephone_number": "916-473-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2180 Harvard St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958153318",
            "country_code": "US",
            "telephone_number": "916-567-3500",
            "fax_number": "916-567-3501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMANUJAM",
        "first_name": "ABHIJIT",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A110934",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A110934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.