Adielle Carrington, PSY.D.
Individual provider Active NPI Clinical Psychologist · Represa, CA
NPI 1710246616 · NPPES record last updated May 11, 2012
Key facts
- NPI
- 1710246616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY23522 (CA)
- Practice address
- 100 Prison Rd
Represa, CA 95671-0012 - Phone
- (916) 985-8610
- Fax
- (916) 294-7839
- NPI assigned
- May 11, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23522 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY23522 | CA | Yes |
Addresses
Primary practice location
100 Prison Rd
Represa, CA 95671-0012
Mailing address
PO Box 290012
Represa, CA 95671-0012
Phone (916) 985-8610
Other providers in Represa, CA
- Lindsey Bryden
- Nicole Calma
- Carol Lynn Camarillo
- Jacqueline Daasch Caoile
- Isidro Acosta Cardeno
- Meg Eu Cho
- Stephen Joseph Clavere
- Sarah Clevenger
- Daniela Coppin
- Corrections and Rehabilitation-Headquarters
All providers in Represa, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.