Individual provider Active NPI

Janice McDavit-Aron, PSYD

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1306493168
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30709 Issued in CA
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

Updated by the provider on Dec 9, 2021

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 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

IdentifierTypeStateIssuer
14534828OtherCACAQH

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
PSY30709CAMDClinical 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.

Verify at the official NPI Registry.