Dina Nolte Botello, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20811 Issued in CA

Practice address

7486 Center Pkwy
Sacramento, CA 95823-3063

Phone

(916) 534-2736

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194870055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 ACHATES CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958265535",
            "telephone_number": "916-857-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7486 CENTER PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958233063",
            "telephone_number": "916-534-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELLO",
        "first_name": "DINA",
        "middle_name": "NOLTE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0PL208110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaprill Bostick
• Marisa N Boston, PHARMD
• Dean Michael Boswell, DO
• Kristiana Boswell, M.A
• Elretha Bosworth, LPT
• Renata M Botello
• Zaida Maya Botello, M.D.
• Alyssa Bothun
• Ehab Botros, BSC, RPH
• Heather Botta

• Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.