Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Philipp Andreas Sack, MD

Individual provider Psychiatry Physician · NPI 1790974863

Philipp Andreas Sack, MD is a Psychiatry in Modesto, California. Qualified in 2001, 25 years ago. Practices with Cep America - Psychiatry PC, a 92-clinician group and accepts Medicare assignment. Licensed in California and Louisiana.

Years since qualifying
25
Licensed in
CA, LA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone: (510) 900-3125
Fax: (504) 988-4270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence C133712 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 15976R (LA)

Record details

NPI number1790974863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 15, 2007
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address1601 Cummins Dr Ste D, Modesto, CA 95358-6411

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Cep America - Psychiatry Pc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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