Individual provider Active NPI

Lindsay Ann Shortliffe, PSY.D.

  • Psychologist
  • Sacramento, CA
National Provider Identifier
1255650990
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
24528 Issued in CA
Practice address
3067 Freeport Blvd Ste 10
Sacramento, CA 95818-4347
Phone
(916) 266-1873
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 24528 CA Primary

Addresses

Primary practice location

3067 Freeport Blvd Ste 10
Sacramento, CA 95818-4347

Mailing address

3067 Freeport Blvd Ste 10
Sacramento, CA 95818-4347
Phone (916) 266-1873

Other names 1

  • Lindsay Paquette Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1255650990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 FREEPORT BLVD STE 10",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958184347",
            "telephone_number": "916-266-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 FREEPORT BLVD STE 10",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958184347",
            "telephone_number": "916-266-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTLIFFE",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "24528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "PAQUETTE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.