Organization Active NPI

Elk Grove Psychiatric Associates, Inc.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1871773853
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G71770 Issued in CA
Legal business name
ELK GROVE PSYCHIATRIC ASSOCIATES, INC.
Practice address
8001 Bruceville Rd
Sacramento, CA 95823-2329
Phone
(916) 200-0329
Fax
(916) 689-5517
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Mrs. Andrea Rose Bates, M.D.
Title
Owner
Phone
(916) 525-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G71770 CA Primary

Addresses

Primary practice location

8001 Bruceville Rd
Sacramento, CA 95823-2329

Mailing address

PO Box 233977
Sacramento, CA 95823-0449
Phone (916) 525-3434

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1871773853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233977",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958230449",
            "telephone_number": "916-525-3434",
            "fax_number": "916-525-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 BRUCEVILLE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232329",
            "telephone_number": "916-200-0329",
            "fax_number": "916-689-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE PSYCHIATRIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-525-3434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G71770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 2007; 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.