DR. JONATHAN CREDO MD, PHD
NPI 1730948803
Psychiatry & Neurology - Psychiatry in Sacramento, CA

Q: What is Jonathan Credo's NPI number?

The NPI number for Jonathan Credo is 1730948803. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Jonathan Credo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Credo was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since March 18, 2024PECOS Enrolled

4150 V ST # 1100, SACRAMENTO, CA 95817(916) 734-2737 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jonathan Credo Md, Phd NPPES

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

DR. JONATHAN CREDO MD, PHD (NPI 1730948803) is an individual psychiatry provider in Sacramento, California, licensed in California (PTL14557) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730948803

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JONATHAN CREDOCredential: MD, PHD

Location Address4150 V ST # 1100Sacramento, CA 95817-1460

Mailing Address4150 V St # 1100Sacramento, CA 95817-1460 · (916) 734-2737

Phone(916) 734-2737

Sole ProprietorYes

Enumeration DateMarch 18, 2024

Last NPPES UpdateJuly 7, 2025

NPPES CertifiedMay 28, 2025

✔ NPI 1730948803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · PTL14557

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4150 V ST # 1100, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Credo Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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 20

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

DANIELLE ZEZOFF

Internal Medicine