Active NPI
Vanessa Vagt, PSY.D.
- Psychologist
- Ukiah, CA
National Provider Identifier
1427385228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 401 W Mill St
Ukiah, CA 95482-5435 - Phone
- (707) 955-5451
- NPI assigned
- Nov 16, 2009
- 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 | Primary |
Addresses
Primary practice location
401 W Mill St
Ukiah, CA 95482-5435
Mailing address
PO Box 1570
Ukiah, CA 95482-1570
Phone (707) 955-5451
Other names 1
- Vanessa Vagt-Rahn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130805000392 | CA | Practitioner - Psychologist Billing Independently | 6002057064 | Practice locations: Ukiah, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
401 W Mill St
Ukiah, CA 95482-5435
Phone (707) 955-5451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1427385228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1570",
"city": "UKIAH",
"state": "CA",
"postal_code": "954821570",
"telephone_number": "707-955-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W MILL ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825435",
"telephone_number": "707-955-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAGT",
"first_name": "VANESSA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-16",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "VAGT-RAHN",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ukiah, CA
- United Holistic Health, a Professional Acupuncture Corporation (Victor Cheng Traditional Chinese Medicine)
- United Medical Resources, Inc.
- Dennis Michael Unroe, MFT
- Devin L Vagt, LAC
- Lee Howard Vagt, D.C.
- Armando Valdivias
- John Valentic, M.D.
- Valley View Skilled Nursing Center, Inc.
- David Gregory Valley, CSAC, CLA
- Rodney Van Pelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.