Individual provider Active NPI

Carmen Cristina Velazquez, PHD

  • Psychologist
  • Napa, CA
National Provider Identifier
1669621926
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
26285 Issued in CA
Practice address
2100 Napa Vallejo Hwy
Napa, CA 94558-9293
Phone
(707) 253-5546
Fax
(617) 414-1975
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 26285 CA Primary

Addresses

Primary practice location

2100 Napa Vallejo Hwy
Napa, CA 94558-9293

Mailing address

2100 Napa Vallejo Hwy
Napa, CA 94558-6293
Phone (617) 414-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150522002070 CA Practitioner - Clinical Psychologist 4486974946 Reassigns benefits to 3 organizations
I20211013001379 WA Practitioner - Clinical Psychologist 4486974946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
CS Neuropsychology Psychologist CurrentSince Feb 4, 2025 Accepting new patients
Cascade Neuropsychology, PLLC CurrentSince Oct 4, 2021 Accepting new patients
Next Steps Neuro Psychology PC CurrentSince May 20, 2023 Accepting new patients
Department of State Hospitals Current Accepting new patients

Locations

1700 Soscol Ave
Ste 30
Napa, CA 94559
Phone (707) 500-3753

1610 Harrison St
Ste E
Oakland, CA 94612
Phone (510) 485-0008

55 Santa Clara Ave
Ste 165
Oakland, CA 94610
Phone (415) 948-3450

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

12 Bellwether Way
Ste 240
Bellingham, WA 98225
Phone (360) 588-2500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1669621926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586293",
            "telephone_number": "617-414-4646",
            "fax_number": "617-414-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945589293",
            "telephone_number": "707-253-5546",
            "fax_number": "617-414-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "CARMEN",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.