Individual provider Active NPI

Maria Christine Cavucci, PSY.D.

  • Clinical Psychologist
  • San Jose, CA
National Provider Identifier
1538527338
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31808 Issued in CA
Practice address
2415 Rinconada Dr
Apt 39
San Jose, CA 95125-2813
Phone
(614) 353-4012
NPI assigned
Feb 8, 2016
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31808 CA Primary

Addresses

Primary practice location

2415 Rinconada Dr
Apt 39
San Jose, CA 95125-2813

Mailing address

180 S Lexington Dr Apt 1136
Folsom, CA 95630-7017
Phone (805) 861-7517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31808CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1538527338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S LEXINGTON DR APT 1136",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307017",
            "telephone_number": "805-861-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 RINCONADA DR",
            "address_2": "APT 39",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252813",
            "telephone_number": "614-353-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVUCCI",
        "first_name": "MARIA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.