Active NPI
Cheree' Clarizio, PSY.D
- Forensic Psychologist
- Sacramento, CA
National Provider Identifier
1386901528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY23108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23108 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of California, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of California, P.C. | Current | 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
- 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.
-
- Clinical Psychologist
- Rancho Cucamonga, CA
- NPI 1417718297
-
- Clinical Social Worker
- Costa Mesa, CA
- NPI 1447137740
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
- Clara'S House
- Jonathan David Claridad, BEHAVIOR THERAPIST
- Clarity and Compassion Counseling, a Licensed Clinical Social Worker C
- Clarity Counseling Agency Inc
- Clarity Optometry, LLC.
- Clark Noonan Marriage and Family Counseling a Professional Corporation
- Amy Clark, PHARMD
- Ann Jennifer Clark, LCSW
- Aryana Clark
- Ashley N. Clark
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.