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DR. PHACHARAWUT KANCHANANAKHIN MD
NPI 1114031721
Psychiatry & Neurology - Psychiatry in Davis, CA

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
1712 PICASSO AVE, SUITE D, DAVIS, CA 95618(916) 576-7898(916) 285-0338 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Phacharawut Kanchananakhin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHACHARAWUT KANCHANANAKHIN MD (NPI 1114031721) is an individual psychiatry provider in Davis, California, licensed in California (A91630) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114031721
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PHACHARAWUT KANCHANANAKHINCredential: MD
Location Address1712 PICASSO AVE, SUITE DDavis, CA 95618-0546
Mailing Address5040 Woodspring Ct, Suite 160Granite Bay, CA 95746-8838 · (916) 576-7898 · Fax (916) 285-0338
Phone(916) 576-7898
Fax(916) 285-0338
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 19, 2006
Last NPPES UpdateOctober 4, 2016
✔ NPI 1114031721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A91630
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1712 PICASSO AVE, Davis, CA 95618
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Other Identifiers 1

Medicare PINBY903ZCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phacharawut Kanchananakhin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941208664
PECOS Enrollment IDI20061113000411, I20161025002538
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
146 services35 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
116 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services14 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANA MARIA JUNIA M.D.
Psychiatry & Neurology (Psychiatry)
1712 PICASSO AVE, SUITE D
DAVIS, CA 95618
Yolo County (530) 297-7500
SEEMA KHAN M.D.
Psychiatry & Neurology (Psychiatry)
1712 PICASSO AVE, SUITE: D
DAVIS, CA 95618
Yolo County (530) 297-7500
MARK DAVID LEVINE MD WOODLAND PROFESSIONAL CORPORATION
Psychiatry & Neurology (Psychiatry)
1712 PICASSO AVE, SUITE D
DAVIS, CA 95618
Yolo County (530) 297-7500
MARK DAVID LEVINE MD, PROFESSIONAL CORPORATION
Psychiatry & Neurology (Psychiatry)
1712 PICASSO AVE, SUITE D
DAVIS, CA 95618
Yolo County (530) 297-7500
SCARLETT MARION KROENCKE DPM
Podiatrist
1712 PICASSO AVE, SUITE C
DAVIS, CA 95618
Yolo County (530) 753-6280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phacharawut Kanchananakhin's NPI number?

The NPI number for Phacharawut Kanchananakhin is 1114031721. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Phacharawut Kanchananakhin located?

Phacharawut Kanchananakhin practices at 1712 Picasso Ave Suite D, Davis, CA 95618. The listed phone number is (916) 576-7898.

What is Phacharawut Kanchananakhin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Phacharawut Kanchananakhin enrolled in Medicare?

Yes. Phacharawut Kanchananakhin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Phacharawut Kanchananakhin was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.