Carol Visser, PHD Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PSY8619 Issued in CA

Legal business name

CAROL VISSER, PHD INC

Practice address

122 East St
Auburn, CA 95603-5119

Phone

(530) 889-8480

NPI assigned

Dec 18, 2007

Last updated

Dec 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carol J Visser, PHDNPI 1831362011

Title

President

Phone

(530) 889-8480

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Carol Visser, PHD

  • Clinical Psychologist
  • Auburn, CA
  • NPI 1831362011
  Medicare reassignment NPD Authorized official
• Eric A Egli, PHD

  • Health Service Psychologist
  • Roseville, CA
  • NPI 1225187644
  NPD (past)
• Jordan A Hamilton, PHD

  • Psychologist
  • Auburn, CA
  • NPI 1912319294
  NPD (past)
• Kimberly J Sanders

  • Mental Health Counselor
  • Auburn, CA
  • NPI 1598120198
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1306020011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 EAST ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035119",
            "telephone_number": "530-889-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 EAST ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035119",
            "telephone_number": "530-889-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL VISSER, PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "VISSER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-889-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY8619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCH LIC",
            "identifier": "PSY8619",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canyon Health Center
• Juanita Carey
• Caring Connection Health Services
• Carl J. Fleischmann D.D.S
• Diana Lynn Carlyle, MFT
• Adam Michael Carp, RN
• Erik Carpio, MD
• Lissett Carrasquel
• Christine Anne Carson, R.N.
• Daniel E Carter, MD

• Adult Mental Health Clinic/Center in Auburn, CA
• Providers in Auburn, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.