Sandra Velasco-Scott, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30939 Issued in CA

Practice address

1600 California Dr
Vacaville
Ca, CA 95687

Phone

(707) 446-6841

NPI assigned

Aug 31, 2015

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

Other names 1

• Sandra Velasco-Scott Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1043687684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 ALAMO CREEK CT APT C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884264",
            "telephone_number": "408-508-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CALIFORNIA DR",
            "address_2": "VACAVILLE",
            "city": "CA",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-446-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO-SCOTT",
        "first_name": "SANDRA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2022-06-16",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sandra.velasco-scott@cdcr.ca.gov",
            "affiliation": "N",
            "endpointDescription": "Condfidential email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1600 California Dr",
            "address_2": "Vacaville",
            "city": "CA",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sandra.velasco-scott@cdcr.ca.gov",
            "affiliation": "N",
            "endpointDescription": "Condfidential email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1600 California Dr",
            "address_2": "Vacaville",
            "city": "CA",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "VELASCO-SCOTT",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clinical Psychologist in Ca, CA
• Providers in Ca, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.