Individual provider Active NPI

Negar Fazeli, PSYD

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1700760840
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00000000 Issued in CA
Practice address
1011 22ND St
Sacramento, CA 95816-4907
Phone
(916) 284-1416
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 00000000 CA Primary

Addresses

Primary practice location

1011 22ND St
Sacramento, CA 95816-4907

Mailing address

1025 Betsy Ross Dr
Roseville, CA 95747-6559
Phone (801) 317-9346

Other practice location 1

1025 Betsy Ross Dr
Roseville, CA 95747-6559
Phone (801) 317-9346

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
00000000CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Trisha D Wallis, Psychologist, Apc Clinical CurrentSince Nov 30, 2025 Accepting new patients
Vantage Point Center for Psychotherapy CurrentSince Aug 3, 2025 Accepting new patients

Locations

1011 22nd St
Sacramento, CA 95816
Phone (916) 284-1416

Organizations & group practices 2

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": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1700760840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 BETSY ROSS DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476559",
            "telephone_number": "801-317-9346"
        },
        {
            "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": "916-284-1416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Betsy Ross Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "957476559",
            "country_code": "US",
            "telephone_number": "801-317-9346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZELI",
        "first_name": "NEGAR",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "00000000",
            "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 1, 2025; 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.