Clinical Psychology Solutions PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26298 Issued in CA

Legal business name

CLINICAL PSYCHOLOGY SOLUTIONS PLLC

Practice address

318 S B St
Suite 5
San Mateo, CA 94401-4092

Phone

(917) 331-1503

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Anna Nedelisky, PH.D.

Title

Managing Member

Phone

(917) 331-1503

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Maria Andreina Bastardo Subero, LMFT

  • Marriage & Family Therapist
  • San Mateo, CA
  • NPI 1720807068
  NPD
• David Sifri, PSY.D.

  • Clinical Psychologist
  • San Mateo, CA
  • NPI 1851008478
  NPD
• Alexandra Slavet

  • Marriage & Family Therapist
  • Burlingame, CA
  • NPI 1477217107
  NPD

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1053771196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S B ST",
            "address_2": "SUITE 5",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014092",
            "telephone_number": "917-331-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S B ST",
            "address_2": "SUITE 5",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014092",
            "telephone_number": "917-331-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOLOGY SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "NEDELISKY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-331-1503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY26298",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Clemente
• Jan Clements, APRN
• Daniel Vincent Clevenger, DDS
• Ronald Harrison Clifton Jr.
• Clinical Integrative Services, Inc
• Penelope Clizbe
• Siobhan Theresa Cloherty
• Rachel Cloud-Holloway, M.S.W.
• Kaitlyn E Clouser
• Victoria Cobos

• Clinical Psychologist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.