Active NPI
Tamar Sara Wishnatzky, ED.D, , M.S., B.S.
- Clinical Psychologist
- Sacramento, CA
National Provider Identifier
1326266958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY#13837
- Practice address
- 915 University Ave
Sacramento, CA 95825-6725 - Phone
- (916) 925-4700
- Fax
- (916) 451-5355
- NPI assigned
- Apr 20, 2007
- 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 | PSY#13837 | CA | Primary |
Addresses
Primary practice location
915 University Ave
Sacramento, CA 95825-6725
Mailing address
915 University Ave
Sacramento, CA 95825-6725
Phone (916) 925-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY#13837 | Other | CA | LICENSED PSYCHOLOGIST |
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)
- Enrolled
- Credentials
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY#13837 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326266958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 UNIVERSITY AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256725",
"telephone_number": "916-925-4700",
"fax_number": "916-451-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 UNIVERSITY AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256725",
"telephone_number": "916-925-4700",
"fax_number": "916-451-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISHNATZKY",
"first_name": "TAMAR",
"middle_name": "SARA",
"name_prefix": "Dr.",
"credential": "ED.D, , M.S., B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY#13837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST",
"identifier": "PSY#13837",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.