Active NPI
Laura Suzanne Ceballos, PH.D.
- Forensic Psychologist
- Sacramento, CA
National Provider Identifier
1083853907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY19340
- Practice address
- 1300 National Dr
Sacramento, CA 95834-1947 - Phone
- (916) 928-2594
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY19340 | CA | Primary |
Addresses
Primary practice location
1300 National Dr
Sacramento, CA 95834-1947
Mailing address
1300 National Dr
Sacramento, CA 95834-1947
Phone (916) 928-2594
Other names 1
- Laura Suzanne Hamon
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19340 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1083853907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 NATIONAL DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341947",
"telephone_number": "916-928-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 NATIONAL DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341947",
"telephone_number": "916-928-2594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBALLOS",
"first_name": "LAURA",
"middle_name": "SUZANNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY19340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "HAMON",
"middle_name": "SUZANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.