Active NPI
Carol Susan Chambers, PSYD
- Clinical Psychologist
- Grass Valley, CA
National Provider Identifier
1104226182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27159
- Practice address
- 500 Crown Point Cir
Suite 120
Grass Valley, CA 95945-9561 - Phone
- (530) 265-1437
- NPI assigned
- Aug 27, 2014
- Last updated
- Apr 22, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 27159 | CA | Primary |
Addresses
Primary practice location
500 Crown Point Cir
Suite 120
Grass Valley, CA 95945-9561
Mailing address
16154 Indian Flat Rd
Nevada City, CA 95959-8703
Phone (530) 635-1996
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27159 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1104226182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16154 INDIAN FLAT RD",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959598703",
"telephone_number": "530-635-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CROWN POINT CIR",
"address_2": "SUITE 120",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959459561",
"telephone_number": "530-265-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "CAROL",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.