Active NPI
Christopher Scott Polizzi, PSY.D.
- Clinical Psychologist
- Campbell, CA
National Provider Identifier
1093967200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY22255
- Practice address
- 901 Campisi Way
Ste 150
Campbell, CA 95008-2365 - Phone
- (408) 827-1942
- Fax
- (408) 628-0042
- NPI assigned
- Oct 21, 2008
- Sex
- Male
- 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 | PSY22255 | CA | Primary |
Addresses
Primary practice location
901 Campisi Way
Ste 150
Campbell, CA 95008-2365
Mailing address
901 Campisi Way
Ste 150
Campbell, CA 95008-2365
Phone (408) 827-1942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090225000378 | CA | Practitioner - Clinical Psychologist | 0143386250 | Practice locations: Campbell, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
30 Union Ave
Suite 220
Campbell, CA 95008-3162
Phone (408) 827-1942
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22255 | CA | MD | Clinical Psychologist |
| 22255 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silicon Valley Psychology | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Campbell, CA
- NPI 1386037208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1093967200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 CAMPISI WAY",
"address_2": "STE 150",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082365",
"telephone_number": "408-827-1942",
"fax_number": "408-628-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CAMPISI WAY",
"address_2": "STE 150",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082365",
"telephone_number": "408-827-1942",
"fax_number": "408-628-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLIZZI",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
- Carolina Pizano
- Diana Plascencia-Diaz
- Lauren Elizabeth Plotkin, LMFT, APCC
- Chantal Nicole Poirier
- Bijayata Pokharel
- Katherine Wrenn Pollard-Pollak, MA CCC-SLP
- Madeline Pollard
- Polyxene Gazetas Kokinos MD PC (South Bay Vascular Center and Vein Institute)
- Anthony Ponce de Leon, DC
- Michael Ponedelnikov, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.