Active NPI
Vataniman Psychological Services, PC
- Clinical Psychologist
- Roseville, CA
National Provider Identifier
1457293318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- VATANIMAN PSYCHOLOGICAL SERVICES, PC
- Practice address
- 3017 Douglas Blvd Ste 300
Roseville, CA 95661-3850 - Phone
- (747) 242-4808
- NPI assigned
- Apr 8, 2026
- Last updated
- Apr 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Vataniman, PHD
- Title
- Ceo
- Phone
- (747) 242-4808
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
3017 Douglas Blvd Ste 300
Roseville, CA 95661-3850
Mailing address
3017 Douglas Blvd Ste 300
Roseville, CA 95661-3850
Phone (747) 242-4808
National Provider Directory
National Provider DirectoryLocations
3017 Douglas Blvd
Ste 300
Roseville, CA 95661
Phone (916) 774-7120
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Agoura Hills, CA
- NPI 1386400034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1457293318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 DOUGLAS BLVD STE 300",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613850",
"telephone_number": "747-242-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3017 DOUGLAS BLVD STE 300",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613850",
"telephone_number": "747-242-4808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VATANIMAN PSYCHOLOGICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-08",
"last_updated": "2026-04-08",
"certification_date": "2026-04-01",
"status": "A",
"authorized_official_last_name": "VATANIMAN",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-242-4808",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.