Individual provider Active NPI

Sallie Reid Tasto, PH.D.

  • Psychologist
  • Palo Alto, CA
National Provider Identifier
1760531578
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY9546 Issued in CA
Practice address
943 Addison Ave
Palo Alto, CA 94301-3002
Phone
(650) 324-1826
Fax
(650) 323-0331
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY9546 CA Primary

Addresses

Primary practice location

943 Addison Ave
Palo Alto, CA 94301-3002

Mailing address

943 Addison Ave
Palo Alto, CA 94301-3002
Phone (650) 324-1826

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY9546CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760531578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 ADDISON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013002",
            "telephone_number": "650-324-1826",
            "fax_number": "650-323-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 ADDISON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013002",
            "telephone_number": "650-324-1826",
            "fax_number": "650-323-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASTO",
        "first_name": "SALLIE",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.