Individual provider Active NPI

Eileen Sheehy, PSYD

  • Student in an Organized Health Care Education/Training Program
  • Sacramento, CA
National Provider Identifier
1720782162
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
425 University Ave Ste 100
Sacramento, CA 95825-6508
Phone
(916) 284-1416
Fax
(916) 405-3539
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

425 University Ave Ste 100
Sacramento, CA 95825-6508

Mailing address

425 University Ave Ste 100
Sacramento, CA 95825-6508
Phone (916) 284-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231218002767 CA Practitioner - Clinical Psychologist 7618323379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vantage Point Center for PsychotherapyGroup PAC ID 0749518140, 13 clinicians

Practice addresses (Care Compare)

1011 22ND St
Sacramento, CA 95816-4907
Phone (916) 284-1416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Point Center for Psychotherapy CurrentSince Nov 1, 2023 Accepting new patients
Dr. Trisha D Wallis, Psychologist, Apc CurrentSince Apr 6, 2023 Accepting new patients

Locations

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

425 University Ave
Ste 100
Sacramento, CA 95825
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": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1720782162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 UNIVERSITY AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256508",
            "telephone_number": "916-284-1416",
            "fax_number": "916-405-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 UNIVERSITY AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256508",
            "telephone_number": "916-284-1416",
            "fax_number": "916-405-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHY",
        "first_name": "EILEEN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.