Active NPI
Patrina Anacker Wheat, PSYD
- Clinical Psychologist
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27349
- Practice address
- 2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713 - Phone
- (925) 282-1778
- Fax
- (415) 296-5299
- NPI assigned
- Sep 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022598 | NY | |
| Clinical Psychologist | 103TC0700X | 27349 | CA | Primary |
Addresses
Primary practice location
2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713
Mailing address
2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713
Phone (925) 282-1778
Other practice location 1
1025 Northern Blvd Ste 214
Roslyn, NY 11576-1506
Phone (516) 446-2537
Other practice location 2
3919 MacDonald Ave
Richmond, CA 94805-2229
Phone (510) 815-6970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01CR | Other | CA | MEDI-CAL |
Other names 1
- Patrina Lynn Anacker
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2365 Iron Point Rd
Suite 210
Folsom, CA 95630-8713
Phone (925) 282-1778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022598 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Clinical | Current | Accepting new patients |
Locations
1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292
2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
Organizations & group practices 1
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": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1962698548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 IRON POINT RD STE 210",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308713",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 IRON POINT RD STE 210",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308713",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299"
}
],
"practiceLocations": [
{
"address_1": "1025 Northern Blvd Ste 214",
"address_purpose": "LOCATION",
"city": "Roslyn",
"state": "NY",
"postal_code": "115761506",
"country_code": "US",
"telephone_number": "516-446-2537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3919 MacDonald Ave",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948052229",
"country_code": "US",
"telephone_number": "510-815-6970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEAT",
"first_name": "PATRINA",
"middle_name": "ANACKER",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022598",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "01CR",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRINA",
"last_name": "ANACKER",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.