Organization Active NPI

Sarah Spears, Psychological Services, Inc.

  • Psychologist
  • Rocklin, CA
National Provider Identifier
1205294105
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14639 Issued in CA
Legal business name
SARAH SPEARS, PSYCHOLOGICAL SERVICES, INC.
Practice address
6000 Fairway Dr
Suite 5
Rocklin, CA 95677-4244
Phone
(916) 315-8500
Fax
(916) 315-8501
NPI assigned
Feb 5, 2016
Last updated
Feb 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Dr. Sarah Gilliam Spears, PH.D.NPI 1164457842
Title
President
Phone
(916) 315-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14639 CA Primary

Addresses

Primary practice location

6000 Fairway Dr
Suite 5
Rocklin, CA 95677-4244

Mailing address

6000 Fairway Dr
Suite 5
Rocklin, CA 95677-4244
Phone (916) 315-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160317001578 CA Part B Supplier - Clinic/Group Practice 2365748357 Receives reassigned benefits from 1 practitioner
Practice locations: Rocklin, CA

National Provider Directory

National Provider Directory

Locations

6000 Fairway Dr
Ste 5
Rocklin, CA 95677
Phone (916) 315-8500

6556 Lonetree Blvd
Ste 104
Rocklin, CA 95765
Phone (530) 320-1490

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1205294105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 FAIRWAY DR",
            "address_2": "SUITE 5",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774244",
            "telephone_number": "916-315-8500",
            "fax_number": "916-315-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAIRWAY DR",
            "address_2": "SUITE 5",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774244",
            "telephone_number": "916-315-8500",
            "fax_number": "916-315-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH SPEARS, PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "GILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-315-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.