Active NPI
Elise Gina Devecchio-Cavagnaro, PH.D.
- Clinical Psychologist
- Porterville, CA
National Provider Identifier
1811232895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 12606
- Practice address
- 26501 Avenue 140
Porterville, CA 93257-9109 - Phone
- (559) 782-2855
- NPI assigned
- Dec 3, 2012
- Last updated
- Dec 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 12606 | CA | Primary |
Addresses
Primary practice location
26501 Avenue 140
Porterville, CA 93257-9109
Mailing address
1600 9TH St
Room 205 Main Stop: 2-3
Sacramento, CA 95814-6414
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 12606 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1811232895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 9TH ST",
"address_2": "ROOM 205 MAIN STOP: 2-3",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958146414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26501 AVENUE 140",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932579109",
"telephone_number": "559-782-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVECCHIO-CAVAGNARO",
"first_name": "ELISE",
"middle_name": "GINA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 12606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.