Individual provider Active NPI

Sheri Anselmi, PH.D.

  • Clinical Psychologist
  • Watsonville, CA
National Provider Identifier
1144353640
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17389 Issued in CA
Practice address
406 Main St
Suite 402
Watsonville, CA 95076-4613
Phone
(831) 288-2086
NPI assigned
Mar 13, 2007
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17389 CA Primary

Addresses

Primary practice location

406 Main St
Suite 402
Watsonville, CA 95076-4613

Mailing address

406 Main St
Suite 402
Watsonville, CA 95076-4613
Phone (831) 288-2086

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
I20140523001361 CA Practitioner - Clinical Psychologist 0749403541 Reassigns benefits to 2 organizations
Practice locations: Watsonville, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

406 Main St
Suite 402
Watsonville, CA 95076-4613
Phone (831) 288-2086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY17389CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of the Central Coast CurrentSince Apr 16, 2014 Accepting new patients
Anselmi Psychology Group, Inc. Clinical CurrentSince Jan 17, 2017 Accepting new patients

Locations

104 Walnut Ave
Ste 208
Santa Cruz, CA 95060
Phone (831) 423-1532

406 Main St
Ste 402
Watsonville, CA 95076
Phone (831) 288-2086

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1144353640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MAIN ST",
            "address_2": "SUITE 402",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764613",
            "telephone_number": "831-288-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MAIN ST",
            "address_2": "SUITE 402",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764613",
            "telephone_number": "831-288-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMI",
        "first_name": "SHERI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.