Individual provider Active NPI

Nameeta Sahni, PSY.D.

  • Clinical Psychologist
  • San Luis Obispo, CA
National Provider Identifier
1710017520
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 21294 Issued in CA
Practice address
11555 Los Osos Valley Road
Suite 211
San Luis Obispo, CA 93405-6472
Phone
(805) 471-0864
Fax
(805) 543-0585
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2010

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 PSY 21294 CA Primary

Addresses

Primary practice location

11555 Los Osos Valley Road
Suite 211
San Luis Obispo, CA 93405-6472

Mailing address

PO Box 266
San Luis Obispo, CA 93406-0266
Phone (805) 471-0864

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 21294CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1710017520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934060266",
            "telephone_number": "805-471-0864",
            "fax_number": "805-239-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 LOS OSOS VALLEY ROAD",
            "address_2": "SUITE 211",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056472",
            "telephone_number": "805-471-0864",
            "fax_number": "805-543-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHNI",
        "first_name": "NAMEETA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 21294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.