James R Sisung II, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS1271 Issued in ME

Practice address

10535 Hospital Way
Mather, CA 95655-4200

Phone

(707) 888-3179

NPI assigned

Dec 18, 2008

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1790921963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 VANILLA BEAN LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958140981",
            "telephone_number": "707-888-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "707-888-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISUNG",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_suffix": "II",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ME",
            "license": "PS1271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Jeffrey Shotz, PSY.D.
• David Siegel, M.D.
• Stacie Kathleen Silva, M.D.
• Yaniv Simon, MD
• Virmeet Singh, M.D.
• Carolynn Maureen Skiro, LCSW
• Mone Gia Skratt Henry, M.S. CCC-SLP
• Bryan Anthony Smith-Turner, RN
• Colin Smith, PHD
• Nilar Soe, M.D.

• Clinical Neuropsychologist in Mather, CA
• Providers in Mather, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.