Luigi Piciucco, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY8312 Issued in CA

Practice address

9700 Business Park Drive Suite 207
Sacramento, CA 95827-1717

Phone

(916) 361-7188

Fax

(934) 361-3984

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 19, 2024 through Dec 19, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Luigi Piciucco PHD Inc

  • Clinical Psychologist
  • Sacramento, CA
  • NPI 1386833911
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1477691590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 BUSINESS PARK DRIVE SUITE 207",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271717",
            "telephone_number": "916-361-7188",
            "fax_number": "934-361-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 BUSINESS PARK DRIVE SUITE 207",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271717",
            "telephone_number": "916-361-7188",
            "fax_number": "934-361-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICIUCCO",
        "first_name": "LUIGI",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8312",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY8312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00PL83120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Thomas Piccolo
• George Dominic Picetti, M.D.
• Karla Pichardo
• Christine Picinich, AG-ACNP
• Alexis Piciucco
• Auburn Piciullo
• Ephraim Anchel Pickard
• McKenna Pickens Waters
• Jacey Johnson Pickens-Jones
• Jade Nia Pickens

• Clinical Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.