Active NPI
Olga Ignatowicz, M.D.
- Psychiatry Physician
- Roseville, CA
National Provider Identifier
1952428492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A69587
- Practice address
- 101 Cirby Hills Dr
Roseville, CA 95678-4360 - Phone
- (916) 787-8808
- Fax
- (916) 787-8857
- NPI assigned
- Mar 22, 2007
- Last updated
- May 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A69587 | CA | Primary |
Addresses
Primary practice location
101 Cirby Hills Dr
Roseville, CA 95678-4360
Mailing address
101 Cirby Hills Dr
Roseville, CA 95678-4360
Phone (916) 787-8808
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
101 Cirby Hills Dr
Roseville, CA 95678-4360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69587 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Roseville, CA
- NPI 1457478216
-
- Adult Mental Health Clinic/Center
- Roseville, CA
- NPI 1992000129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1952428492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CIRBY HILLS DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956784360",
"telephone_number": "916-787-8808",
"fax_number": "916-787-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CIRBY HILLS DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956784360",
"telephone_number": "916-787-8808",
"fax_number": "916-787-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNATOWICZ",
"first_name": "OLGA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A69587",
"primary": true
}
],
"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 May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.