Organization
ROSEVILLE CENTER FOR INTERVENTIONAL PSYCHIATRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS MD (MEDICAL DIRECTOR)
(916) 755-6000
Entity
Organization
Contact information
Practice address
3200 DOUGLAS BLVD STE 310, ROSEVILLE, CA 95661-4238
(916) 755-6000
Mailing address
3200 DOUGLAS BLVD STE 310, ROSEVILLE, CA 95661-4238
(916) 755-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/29/2024
Last updated
10/27/2025
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