Individual provider Active NPI

Leona Sonja Kashersky, PSY.D.

  • Psychologist
  • Sacramento, CA
National Provider Identifier
1144230095
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY20662 Issued in CA
Practice address
2710 X St
Sacramento, CA 95818-2757
Phone
(916) 595-7233
Fax
(916) 453-9093
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY20662 CA Primary

Addresses

Primary practice location

2710 X St
Sacramento, CA 95818-2757

Mailing address

2710 X St
Sacramento, CA 95818-2757
Phone (916) 595-7233

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000303 CA Practitioner - Clinical Psychologist 4082794508 Reassigns benefits to 1 organization
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2710 X St
Sacramento, CA 95818-1790
Phone (916) 595-7233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY20662CAMDPsychologist
20662CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Institute CurrentSince Sep 1, 2024 Accepting new patients
Healing Pathways Psychological Services, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Fall Creek Counceling Associates Psychologist Past Accepting new patients
Debra Moore, PH.D. Psychologist Past Accepting new patients

Locations

2710 X St
Sacramento, CA 95818
Phone (530) 676-3847

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1144230095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 X ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182757",
            "telephone_number": "916-595-7233",
            "fax_number": "916-453-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 X ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182757",
            "telephone_number": "916-595-7233",
            "fax_number": "916-453-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHERSKY",
        "first_name": "LEONA",
        "middle_name": "SONJA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.