Individual provider Active NPI

Ariel Krakower, PSY.D.

  • Clinical Psychologist
  • Vallejo, CA
National Provider Identifier
1265668305
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31672 Issued in CA
Practice address
113 Humphrey LN
Vallejo, CA 94591-7234
Phone
(510) 847-8549
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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 31672 CA Primary

Addresses

Primary practice location

113 Humphrey LN
Vallejo, CA 94591-7234

Mailing address

113 Humphrey LN
Vallejo, CA 94591-7234
Phone (510) 847-8549

Other names 1

  • Dr. Ariela Shalev Professional 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

State licenses

LicenseStateTypeSpecialty
31672CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Institute of Pinole Past Accepting new patients
The Family Institute of Richmond Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1265668305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HUMPHREY LN",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917234",
            "telephone_number": "510-847-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HUMPHREY LN",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917234",
            "telephone_number": "510-847-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKOWER",
        "first_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIELA",
            "last_name": "SHALEV",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.