Individual provider Active NPI

Angela M. Burt, M.D.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1992890222
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A93897 Issued in CA
Practice address
3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971
Phone
(916) 283-8280
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11679 NV
Psychiatry Physician 2084P0800X A93897 CA Primary

Addresses

Primary practice location

3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971

Mailing address

210 Baronne St Apt 1211
New Orleans, LA 70112-1750
Phone (707) 755-1148

Other practice location 1

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-6270

Other identifiers 1

IdentifierTypeStateIssuer
1423921MedicaidLA

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
I20170707000410 CA Practitioner - Psychiatry 2567428618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Ohio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of SonomaGroup PAC ID 4688658651, 28 clinicians

Practice addresses (Care Compare)

140 S Cloverdale Blvd
Cloverdale, CA 95425-3710
Phone (707) 565-4861

2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone (707) 565-4861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93897CAMDClinical Social Worker
A93897CAMDPsychiatry Physician
11679NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sonoma CurrentSince Oct 27, 2020 Accepting new patients
Turning Point Community Programs CurrentSince Dec 3, 2023 Accepting new patients
County of Sonoma Current Accepting new patients
Turning Point Community Programs - PSH CurrentSince Oct 29, 2023 Accepting new patients

Locations

3947 Lennane Dr
Ste 110
Sacramento, CA 95834
Phone (916) 283-8259

1450 Neotomas Ave
Ste 200
Santa Rosa, CA 95405
Phone (707) 565-4131

2225 Challenger Way
Santa Rosa, CA 95407
Phone (707) 565-4101

Organizations & group practices 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1992890222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BARONNE ST APT 1211",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121750",
            "telephone_number": "707-755-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 LENNANE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341971",
            "telephone_number": "916-283-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Woodland Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Helena",
            "state": "CA",
            "postal_code": "945749554",
            "country_code": "US",
            "telephone_number": "707-963-6270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURT",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "11679",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A93897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1423921",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.