Active NPI
Janice McDavit-Aron, PSYD
- Clinical Psychologist
- Sacramento, CA
National Provider Identifier
1306493168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30709
- Practice address
- 3230 Arena Blvd Ste 245-254
Sacramento, CA 95834-1099 - Phone
- (916) 588-3108
- Fax
- (916) 200-0448
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY30709 | CA | Primary |
Addresses
Primary practice location
3230 Arena Blvd Ste 245-254
Sacramento, CA 95834-1099
Mailing address
3230 Arena Blvd # 245-254
Sacramento, CA 95834-1099
Phone (916) 588-3108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14534828 | Other | CA | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30709 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1306493168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 ARENA BLVD # 245-254",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341099",
"telephone_number": "916-588-3108",
"fax_number": "916-200-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 ARENA BLVD STE 245-254",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341099",
"telephone_number": "916-588-3108",
"fax_number": "916-200-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDAVIT-ARON",
"first_name": "JANICE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14534828",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.