Active NPI
Victoria Pickering, PHD
- Clinical Psychologist
- Jackson, CA
National Provider Identifier
1013063767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8060
- Practice address
- 601 Court St
Suite 206
Jackson, CA 95642-2160 - Phone
- (209) 256-5602
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8060 | CA | Primary |
Addresses
Primary practice location
601 Court St
Suite 206
Jackson, CA 95642-2160
Mailing address
601 Court St
Suite 206
Jackson, CA 95642-2160
Phone (209) 256-5602
Other names 1
- Victoria Pickering Edelstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8060 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1013063767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 COURT ST",
"address_2": "SUITE 206",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422160",
"telephone_number": "209-256-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 COURT ST",
"address_2": "SUITE 206",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422160",
"telephone_number": "209-256-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "VICTORIA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "8060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "EDELSTEIN",
"middle_name": "PICKERING",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.