Organization Active NPI

Scripps Psychological Associates, Inc

  • Psychologist
  • Sacramento, CA
National Provider Identifier
1598893125
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY6474 Issued in CA
Legal business name
SCRIPPS PSYCHOLOGICAL ASSOCIATES, INC
Practice address
1012 19TH St
Sacramento, CA 95814-4102
Phone
(916) 446-3111
Fax
(916) 446-3131
NPI assigned
Mar 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sidney Keith Nelson, PH.D.
Title
President
Phone
(916) 446-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY6474 CA Primary

Addresses

Primary practice location

1012 19TH St
Sacramento, CA 95814-4102

Mailing address

1012 19TH St
Sacramento, CA 95814-4102
Phone (916) 446-3111

National Provider Directory

National Provider Directory

Locations

1012 19th St
Sacramento, CA 95811
Phone (916) 446-3111

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598893125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 19TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958144102",
            "telephone_number": "916-446-3111",
            "fax_number": "916-446-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 19TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958144102",
            "telephone_number": "916-446-3111",
            "fax_number": "916-446-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS PSYCHOLOGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-446-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY6474",
            "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 Aug 22, 2020; 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.