Individual provider Active NPI

Cheree' Clarizio, PSY.D

  • Forensic Psychologist
  • Sacramento, CA
National Provider Identifier
1386901528
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSY23108 Issued in CA
Practice address
1515 K St
Sacramento, CA 95814-4051
Phone
(760) 666-6666
NPI assigned
Apr 12, 2012
Reactivated
May 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23108 CA
Forensic Psychologist 103TF0200X PSY23108 CA Primary

Addresses

Primary practice location

1515 K St
Sacramento, CA 95814-4051

Mailing address

1515 K St
Sacramento, CA 95814-4051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY23108CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of California, P.C. Clinical CurrentSince Dec 4, 2024 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Dec 4, 2024 Accepting new patients
Pasadena Clinical Group, a Psychology Corporation Clinical Past Accepting new patients

Locations

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

Interoperability endpoints

  • Direct secure messaging: cheree.clarizio.1@28621.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1386901528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 K ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958144051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 K ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958144051",
            "telephone_number": "760-666-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARIZIO",
        "first_name": "CHEREE'",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2017-05-08",
        "deactivation_date": "2015-09-21",
        "reactivation_date": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23108",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY23108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.