Active NPI
Olivia Briceno Contreras
- Psychologist
- Sacramento, CA
National Provider Identifier
1427323609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2230 Stockton Blvd
Sacramento, CA 95817-1353 - Phone
- (916) 734-0849
- NPI assigned
- Mar 20, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2230 Stockton Blvd
Sacramento, CA 95817-1353
Mailing address
2230 Stockton Blvd
Sacramento, CA 95817-1353
Other practice location 1
2501 W Shaw Ave Ste 103
Fresno, CA 93711-3307
Phone (559) 221-1680
Other practice location 2
3331 Power Inn Rd # 140
Sacramento, CA 95826
Phone (916) 875-1183
Other names 1
- Olivia Briceno
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JDT Consultants | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1437289881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1427323609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171353",
"telephone_number": "916-734-0849"
}
],
"practiceLocations": [
{
"address_1": "2501 W Shaw Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937113307",
"country_code": "US",
"telephone_number": "559-221-1680",
"fax_number": "559-221-4336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3331 Power Inn Rd # 140",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95826",
"country_code": "US",
"telephone_number": "916-875-1183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONTRERAS",
"first_name": "OLIVIA",
"middle_name": "BRICENO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "BRICENO",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.