| Granite Pointe Psychiatry Group, Inc. | |
|
2281 Lava Ridge Ct Ste 140 Roseville CA 95661-2804 | |
| (916) 695-9131 | |
| Not Available |
| Full Name | Granite Pointe Psychiatry Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2281 Lava Ridge Ct Ste 140, Roseville, California |
| Authorized Official Name and Position | Elena Rapoport (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9166959131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Pointe Psychiatry Group, Inc. 2281 Lava Ridge Ct Ste 140 Roseville CA 95661-2804 Ph: (916) 695-9131 | Granite Pointe Psychiatry Group, Inc. 2281 Lava Ridge Ct Ste 140 Roseville CA 95661-2804 Ph: (916) 695-9131 |
| NPI Number | 1487484739 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 08/02/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487484739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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