Individual provider Active NPI

Polly Bambauer, PPS

  • School Psychologist
  • Redding, CA
National Provider Identifier
1720936545
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
1644 Magnolia Ave
Redding, CA 96001-1513
Phone
(530) 410-6182
Fax
(530) 225-0308
NPI assigned
Mar 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X CA Primary

Addresses

Primary practice location

1644 Magnolia Ave
Redding, CA 96001-1513

Mailing address

2060 Butte St
Redding, CA 96001-1611
Phone (530) 410-6182

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

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1720936545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011611",
            "telephone_number": "530-410-6182",
            "fax_number": "530-225-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 MAGNOLIA AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011513",
            "telephone_number": "530-410-6182",
            "fax_number": "530-225-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBAUER",
        "first_name": "POLLY",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.