Organization Active NPI

Sacramento Center for Psychotherapy

  • Psychologist
  • Davis, CA
National Provider Identifier
1043554371
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY10451 Issued in CA
Legal business name
SACRAMENTO CENTER FOR PSYCHOTHERAPY
Practice address
1621 Oak Ave Ste B
Davis, CA 95616-1000
Phone
(530) 757-6861
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Martha L Gilmore, PHDNPI 1679684575
Title
Ceo
Phone
(530) 757-6861

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY10451 CA Primary

Addresses

Primary practice location

1621 Oak Ave Ste B
Davis, CA 95616-1000

Mailing address

1621 Oak Ave Ste B
Davis, CA 95616-1000
Phone (530) 757-6861

National Provider Directory

National Provider Directory

Locations

1621 Oak Ave
Ste B
Davis, CA 95616
Phone (530) 753-0920

Practitioners & affiliated clinicians

Practitioners 2

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": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1043554371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 OAK AVE STE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161000",
            "telephone_number": "530-757-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 OAK AVE STE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161000",
            "telephone_number": "530-757-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO CENTER FOR PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-757-6861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.