Individual provider Active NPI

Rita Cassia Sampaio, PH.D.

  • Cognitive & Behavioral Psychologist
  • Orinda, CA
National Provider Identifier
1740492750
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PSY 18107 Issued in CA
Practice address
108 Lucille Way
Orinda, CA 94563-3705
Phone
(925) 295-4145
Fax
(925) 925-5226
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY 18107 CA Primary

Addresses

Primary practice location

108 Lucille Way
Orinda, CA 94563-3705

Mailing address

108 Lucille Way
Orinda, CA 94563-3705
Phone (925) 295-4145

Other identifiers 1

IdentifierTypeStateIssuer
5877365OtherKAISER MEDICAL RECORD NUMBER

Other names 1

  • Dr. Rita Sampaeo-Shain Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 18107CAMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1740492750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LUCILLE WAY",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633705",
            "telephone_number": "925-295-4145",
            "fax_number": "925-925-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LUCILLE WAY",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633705",
            "telephone_number": "925-295-4145",
            "fax_number": "925-925-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPAIO",
        "first_name": "RITA",
        "middle_name": "CASSIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY 18107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER MEDICAL RECORD NUMBER",
            "identifier": "5877365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "SAMPAEO-SHAIN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orinda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.