Organization Active NPI

Carey Laine Psychologist,Inc.

  • Clinical Psychologist
  • Nevada City, CA
National Provider Identifier
1306691969
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CAREY LAINE PSYCHOLOGIST,INC.
Practice address
11327 Willow Valley Rd Ste a
Nevada City, CA 95959-8623
Phone
(530) 277-0976
Fax
(530) 470-6021
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Dr. Carey E Laine, PSYD
Title
President
Phone
(530) 277-0976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

11327 Willow Valley Rd Ste a
Nevada City, CA 95959-8623

Mailing address

11327 Willow Valley Rd Ste a
Nevada City, CA 95959-8623
Phone (530) 277-0976

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1306691969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11327 WILLOW VALLEY RD STE A",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598623",
            "telephone_number": "530-277-0976",
            "fax_number": "530-470-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11327 WILLOW VALLEY RD STE A",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598623",
            "telephone_number": "530-277-0976",
            "fax_number": "530-470-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREY LAINE PSYCHOLOGIST,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-277-0976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.