Active NPI
Rebecca Caldwell, PSYD
- Clinical Psychologist
- Campbell, CA
National Provider Identifier
1083132286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34889
- Practice address
- 2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541 - Phone
- (800) 913-2615
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34889 | CA | Primary |
Addresses
Primary practice location
2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541
Mailing address
2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541
Phone (925) 444-0760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34889 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGTC Group | Past | Accepting new patients | |
| WK Medical Group | Clinical | Past | Accepting new patients |
| Los Gatos Therapy Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1881482941
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1518600972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1083132286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 S BASCOM AVE STE 100",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950085541",
"telephone_number": "925-444-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 S BASCOM AVE STE 100",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950085541",
"telephone_number": "800-913-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.