Individual provider Active NPI

Cathy G Neuhauser, PH.D.

  • Clinical Psychologist
  • Davis, CA
National Provider Identifier
1023033875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8049 Issued in CA
Practice address
604 3Rd St
Davis, CA 95616-4553
Phone
(530) 759-0116
Fax
(530) 297-0766
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY8049 CA Primary

Addresses

Primary practice location

604 3Rd St
Davis, CA 95616-4553

Mailing address

604 3Rd St
Davis, CA 95616-4553
Phone (530) 759-0116

Other identifiers 1

IdentifierTypeStateIssuer
0555-04OtherCAPACIFICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000661 CA Practitioner - Clinical Psychologist 7113050501 Practice locations: Davis, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

523 G St
Suite 3
Davis, CA 95616-3820
Phone (530) 759-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY8049CAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023033875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 3RD ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164553",
            "telephone_number": "530-759-0116",
            "fax_number": "530-297-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 3RD ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164553",
            "telephone_number": "530-759-0116",
            "fax_number": "530-297-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUHAUSER",
        "first_name": "CATHY",
        "middle_name": "G",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "0555-04",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.