Active NPI
Shiba Rahimi
- Clinical Psychologist
- Sacramento, CA
National Provider Identifier
1477801314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31179
- Practice address
- 1555 River Park Dr Ste 103
Sacramento, CA 95815-4603 - Phone
- (916) 692-8837
- Fax
- (916) 200-3196
- NPI assigned
- Aug 27, 2012
- Last updated
- Dec 19, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Rehabilitation Counselor | 225C00000X | 2012813 | CA | |
| Clinical Psychologist | 103TC0700X | 31179 | CA | Primary |
Addresses
Primary practice location
1555 River Park Dr Ste 103
Sacramento, CA 95815-4603
Mailing address
1555 River Park Dr Ste 103
Sacramento, CA 95815-4603
Phone (916) 692-8837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1555 River Park Dr
Suite 103
Sacramento, CA 95815-4603
Phone (916) 692-8837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012813 | CA | MD | Rehabilitation Counselor |
| 31179 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assessment and Development Center of Sacramento | Clinical | Current | Accepting new patients |
Locations
1555 River Park Dr
Ste 103
Sacramento, CA 95815
Phone (916) 692-8837
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ADCSac
- Clinical Psychologist
- Sacramento, CA
- NPI 1750916177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1477801314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 RIVER PARK DR STE 103",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154603",
"telephone_number": "916-692-8837",
"fax_number": "916-200-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 RIVER PARK DR STE 103",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154603",
"telephone_number": "916-692-8837",
"fax_number": "916-200-3196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHIMI",
"first_name": "SHIBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "CA",
"license": "2012813",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "31179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 19, 2025; 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.
- 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.