Nicole Calma, PSY.D.

Individual provider Active NPI Clinical Psychologist · Represa, CA

NPI 1811207426 · NPPES record last updated Oct 24, 2018

Key facts

NPI
1811207426
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
29969 (CA)
Practice address
100 Prison Road Sacramento State Prison
Represa, CA 95671
Phone
(916) 985-8610
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Corrections and Rehabilitation-Headquarters Past
since Feb 9, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Psychologist 103TC0700X 29969 CA Yes

Addresses

Primary practice location

100 Prison Road Sacramento State Prison
Represa, CA 95671

Mailing address

100 Prison Road Sacramento State Prison
Represa, CA 95671
Phone (916) 985-8610

Other providers in Represa, CA

All providers in Represa, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.