Healthcare Provider Details

I. General information

NPI: 1609554039
Provider Name (Legal Business Name): INSIGHTS PSYCHIATRIC MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1098 MELODY LN STE 102
ROSEVILLE CA
95678-5138
US

IV. Provider business mailing address

1098 MELODY LN STE 102
ROSEVILLE CA
95678-5138
US

V. Phone/Fax

Practice location:
  • Phone: 916-277-9010
  • Fax: 916-266-5111
Mailing address:
  • Phone: 916-277-9010
  • Fax: 916-266-5111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HEATHER SUSAN ROSDAIL
Title or Position: OWNER
Credential: APRN
Phone: 916-521-6280