SACRAMENTO CHILD PSYCHIATRY (NPI# 1043541014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043541014 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO CHILD PSYCHIATRY |
| Practice Address |
1111 Exposition Blvd Ste 700 Suite 102 Sacramento CA 95815-4335 |
| Mailing Address |
Po Box 15321 Sacramento CA 95851-0321 |
| Practice Telephone | 9165805769 |
| Mailing Telephone | 9165805769 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Authorized Official Name | DR. CINDY YAEWON THYGESON (CEO) |
| Authorized Official Telephone | 9165805769 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
A108395 | CA | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
A108395 | CA | Ambulatory Health Care Facilities |
| Street Address |
1111 EXPOSITION BLVD STE 700 SUITE 102 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243011 | David A Evans | Otolaryngology | 1111 Exposition Blvd Ste 700, Sacramento, CA 95815-4335 | 2005-05-24 |
| 1568584365 | Judy Hanson | Audiologist | 1111 Exposition Blvd Ste 700, Sacramento, CA 95815-4300 | 2007-04-04 |
| 1881714566 | Laura Assante Robinson | Audiologist | 1111 Exposition Blvd Ste 700, Sacramento, CA 95815-4335 | 2007-03-29 |
| 1265435945 | Philip Bernstein | Otolaryngology | 1111 Exposition Blvd Ste 700, Sacramento, CA 95815-4314 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1427325240 | Sacramento Children's Home | Clinic/Center | 2751 Wilmington Ave, Sacramento, CA 95820 | 2011-11-22 |
| 1225356819 | County of Sacramento | Clinic/Center | 2140 Stockton Blvd, Sacramento, CA 95817-1337 | 2010-05-07 |
| 1255537536 | River Oak Center for Children | Clinic/Center | 1238 S Street, Sacramento, CA 95814 | 2007-06-25 |
| 1992913883 | Heartland Child & Family Services | Clinic/Center | 477 Las Palmas Ave, Sacramento, CA 95815-1605 | 2007-05-21 |
| 1093921009 | Chw Medical Foundation | Clinic/Center | 3066 Freeport Blvd, Sacramento, CA 95818-4349 | 2007-05-15 |
| 1932314184 | Asian Pacific Community Counseling | Clinic/Center | 7273 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2007-05-11 |
| 1598811952 | River Oak Center for Children | Clinic/Center | 2751 9th Ave, Sacramento, CA 95818-4406 | 2007-01-26 |
| 1780730143 | River Oak Center for Chilren | Clinic/Center | 7322 Florinda Way, Sacramento, CA 95828-4015 | 2007-01-26 |
| 1730234907 | River Oak Center for Children | Clinic/Center | 4322 4th Ave, Sacramento, CA 95817-3023 | 2007-01-25 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
Please comment or provide details below to improve the information on SACRAMENTO CHILD PSYCHIATRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.