Healthcare Provider Details

I. General information

NPI: 1427196575
Provider Name (Legal Business Name): CHAD LEWIS MURDOCK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 UNIVERSITY AVE STE 200
SACRAMENTO CA
95825-6540
US

IV. Provider business mailing address

5051 ORCHID DR
WEST LAFAYETTE IN
47906-9071
US

V. Phone/Fax

Practice location:
  • Phone: 800-442-8938
  • Fax: 856-861-1384
Mailing address:
  • Phone: 208-881-2037
  • Fax: 765-807-3081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberM-7513
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA121704
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01080930A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: