Larry Wasson III

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34925 Issued in CA

Practice address

1011 22ND St
Sacramento, CA 95816-4907

Phone

(305) 933-8172

NPI assigned

Apr 14, 2017

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Vantage Point Center for PsychotherapyGroup PAC ID 0749518140, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vantage Point Center for Psychotherapy

  • Mental Health Counselor
  • Sacramento, CA
  • NPI 1326417056
  Medicare reassignment Care Compare group NPD
• Dr. Trisha D Wallis, Psychologist, Apc

  • Clinical Psychologist
  • Sacramento, CA
  • NPI 1346862620
  NPD
• Greenhouse Therapy

  • Marriage & Family Therapist
  • Elk Grove, CA
  • NPI 1013377647
  NPD (past)
• Greenhouse Therapy Group Inc

  • Marriage & Family Therapist
  • Elk Grove, CA
  • NPI 1437514064
  NPD (past)

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1487188611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 MARITIME DR STE 110",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 22ND ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164907",
            "telephone_number": "305-933-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "LARRY",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34925",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena Francine Wasina, OTR
• Lisa Ann Wasko, RBT
• Sierra Waslaski
• Erika Wasser, LCSW
• Robert Elias Wasserman
• Amanda Wasylik, R.D.
• Naruhito Watanabe, M.D.
• Carol Williams Waterbury, P.T.
• James Patrick Waters Jr.
• Lea Waters

• 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 May 1, 2024; 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.

Verify at the official NPI Registry.