Sierra Hills Individual & Family Therapy

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

18748 Issued in CA

Legal business name

SIERRA HILLS INDIVIDUAL & FAMILY THERAPY

Practice address

1230 High St Ste 211
Auburn, CA 95603-5044

Phone

(530) 210-4155

NPI assigned

Jan 23, 2014

Last updated

May 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David G Davidson-Methot, PHDNPI 1982692497

Title

Owner

Phone

(530) 210-4155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• David Glenn Davidson-Methot, PH.D.

  • Clinical Psychologist
  • Gilbert, AZ
  • NPI 1982692497

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1689097842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 HIGH ST STE 211",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035044",
            "telephone_number": "530-210-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 HIGH ST STE 211",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035044",
            "telephone_number": "530-210-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA HILLS INDIVIDUAL & FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON-METHOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-210-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "18748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Doctors Medical Group Inc
• Sierra Foothills AIDS Foundation
• Sierra Foothills Surgical Specialists Inc
• Sierra Forever Families
• Sierra Forever Families
• Sierra Medical Partnership
• Sierra Mental Wellness Group
• Sierra Orthopedics & Sports Medicine
• Sierrapsychsolutions Inc (sierrapsychsolutions)
• Katie Silva

• Clinical Psychologist in Auburn, CA
• Providers in Auburn, 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 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.