Full Cup Wellness Psychology Professional Corporation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FULL CUP WELLNESS PSYCHOLOGY PROFESSIONAL CORPORATION

Practice address

1700 Eureka Rd Ste 155
Roseville, CA 95661-7786

Phone

(916) 705-2896

NPI assigned

Feb 19, 2022

Last updated

Feb 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Holly Spotts, PSY.D.NPI 1871757278

Title

Owner

Phone

(916) 705-2896

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly M Spotts, PSY.D.

  • Clinical Psychologist
  • Roseville, CA
  • NPI 1871757278
  NPD Authorized official

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1033864814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957630506",
            "telephone_number": "916-705-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 EUREKA RD STE 155",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617786",
            "telephone_number": "916-705-2896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 29th Ave",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012843",
            "country_code": "US",
            "telephone_number": "916-705-2896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULL CUP WELLNESS PSYCHOLOGY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "SPOTTS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-705-2896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.