Individual provider Active NPI

Gail A Prichard, M.D.

  • Psychiatry Physician
  • Truckee, CA
National Provider Identifier
1891842480
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G54724 Issued in CA
Practice address
11209 Brockway Rd Ste 303
Truckee, CA 96161
Phone
(305) 536-5060
Fax
(844) 269-8450
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G54724 CA Primary

Addresses

Primary practice location

11209 Brockway Rd Ste 303
Truckee, CA 96161

Mailing address

11209 Brockway Rd Ste 303
Truckee, CA 96161-2220
Phone (305) 536-5060

Other practice location 1

866 Campus Dr
Stanford, CA 94305-8508
Phone (650) 723-3785

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
I20101229000462 CA Practitioner - Psychiatry 6103014568 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G54724CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Plumas Health Care District CurrentSince Jul 9, 2018 Accepting new patients
Eastern Plumas Health Care Home Health CurrentSince Jul 9, 2018 Accepting new patients
Eastern Plumas Health Care District Past Accepting new patients

Locations

500 1st Ave
Portola, CA 96122
Phone (530) 832-4277

480 1st Ave
Portola, CA 96122
Phone (530) 832-6600

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1891842480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 BROCKWAY RD STE 303",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961612220",
            "telephone_number": "305-536-5060",
            "fax_number": "844-269-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 BROCKWAY RD STE 303",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "96161",
            "telephone_number": "305-536-5060",
            "fax_number": "844-269-8450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "866 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943058508",
            "country_code": "US",
            "telephone_number": "650-723-3785",
            "fax_number": "650-725-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICHARD",
        "first_name": "GAIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G54724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.