Sangita Prasad, PSYD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Represa, CA

NPI 1992834626 · NPPES record last updated Feb 17, 2022

Key facts

NPI
1992834626
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
100 Prison Road
Ca Dept of Correction and Rehabilitation
Represa, CA 95671-0012
Phone
(916) 985-8610
Fax
(916) 294-3056
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Corrections and Rehabilitation-Headquarters Past
since Feb 9, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Case Manager/Care Coordinator 171M00000X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

100 Prison Road
Ca Dept of Correction and Rehabilitation
Represa, CA 95671-0012

Mailing address

100 Prison Rd
Ca Dept of Corrections and Rehabilitation
Represa, CA 95671-0012
Phone (916) 985-8610

Other identifiers

IdentifierTypeStateIssuer
1992834626OtherCACDCR EMPLOYEE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sangita.prasad@cdcr.ca.gov Other

Other providers in Represa, CA

All providers in Represa, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.