Active NPI
Theresa L Rizzo, PSYD
- Psychologist
- Pleasanton, CA
National Provider Identifier
1356650659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY23837
- Practice address
- 5925 W Las Positas Blvd
Suite 100
Pleasanton, CA 94588-8537 - Phone
- (925) 249-3152
- NPI assigned
- Oct 4, 2010
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY23837 | CA | Primary |
Addresses
Primary practice location
5925 W Las Positas Blvd
Suite 100
Pleasanton, CA 94588-8537
Mailing address
3021 Telegraph Ave
Suite a
Berkeley, CA 94705-2072
Phone (510) 629-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231226001066 | CA | Order and Referring Only - Clinical Psychologist | 4587014097 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23837 | CA | MD | Psychologist |
| 23837 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1356650659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 TELEGRAPH AVE",
"address_2": "SUITE A",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052072",
"telephone_number": "510-629-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 W LAS POSITAS BLVD",
"address_2": "SUITE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888537",
"telephone_number": "925-249-3152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "THERESA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY23837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.