Meda Rebecca, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16046 Issued in CA

Practice address

1201 Alhambra Blvd Ste 300
Sacramento, CA 95816-5241

Phone

(916) 731-7951

Fax

(916) 731-7867

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023154424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 HYANNIS WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271345",
            "telephone_number": "916-361-3060",
            "fax_number": "916-731-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ALHAMBRA BLVD STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165241",
            "telephone_number": "916-731-7951",
            "fax_number": "916-731-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBECCA",
        "first_name": "MEDA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.