Active NPI
Carey Laine Psychologist,Inc.
- Clinical Psychologist
- Nevada City, CA
National Provider Identifier
1306691969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
- Last updated
- Apr 18, 2024
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Nevada City, CA
- NPI 1205834058
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.