Organization Active NPI

Sierra Center for Welless Sacramento a Psychologial Corporation

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1023747326
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SIERRA CENTER FOR WELLESS SACRAMENTO A PSYCHOLOGIAL CORPORATION
Practice address
701 University Ave Ste 225
Sacramento, CA 95825-6756
Phone
(916) 794-2051
Fax
(916) 794-2051
NPI assigned
Jun 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Anton Paulson, PH.D.NPI 1699821199
Title
Ceo
Phone
(916) 794-2051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

701 University Ave Ste 225
Sacramento, CA 95825-6756

Mailing address

1215 La Sierra Dr
Sacramento, CA 95864-3049
Phone (916) 850-9472

National Provider Directory

National Provider Directory

Locations

701 University Ave
Ste 225
Sacramento, CA 95825
Phone (916) 314-2994

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1023747326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LA SIERRA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958643049",
            "telephone_number": "916-850-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY AVE STE 225",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256756",
            "telephone_number": "916-794-2051",
            "fax_number": "916-794-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA CENTER FOR WELLESS SACRAMENTO A PSYCHOLOGIAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-794-2051",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.