OrganizationActive
Virtuoso Psychiatry Group
NPI 1922471747 · Mental Health Clinic/Center (Including Community Mental Health Center) · Granite Bay, CA
Provider details
- NPI number
- 1922471747
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phacharawut Kanchananakhin, President(530) 902-7875
- License
- A91530 (CA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense A91530 (CA)
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5040 Woodspring Ct
Granite Bay, CA 95746-8838
Phone: (530) 902-7875
Fax: (916) 784-2610
Street-level locationGet directions
Mailing address
5040 Woodspring Ct
Granite Bay, CA 95746-8838
Registry dates
- Enumerated
- 2015-11-02
- Last updated
- 2015-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.