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WESTERN SIERRA PSYCHIATRIC GROUP NPI 1639235294


NPI Information

NPI: 1639235294
Provider Name: WESTERN SIERRA PSYCHIATRIC GROUP
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

Address:
1409 28TH ST
#200
SACRAMENTO, CA
ZIP 95816
Phone: (916) 451-5294
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WESTERN SIERRA PSYCHIATRIC GROUP is an addiction psychiatry psychiatry neurology in Sacramento, CA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. WESTERN SIERRA PSYCHIATRIC GROUP NPI is 1639235294. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1409 28TH ST
#200
SACRAMENTO, CA
ZIP 95816-422
Phone: (916) 451-5294

The provider's authorized official is Bruce Wenokur .
The authorized official title is Psychiatrist and has the following contact phone number (916) 451-5294.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0802XPsychiatry & NeurologyAddiction Psychiatry20A5621CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1$$$$$$$$$OTHERCALIFORNIASOCIAL SECURITY NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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