Active NPI
Alissa C Vannet, PSYD
- Psychologist
- Corte Madera, CA
National Provider Identifier
1831624162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33925
- Practice address
- 21 Tamal Vista Blvd Ste 225
Corte Madera, CA 94925-1130 - Phone
- (415) 216-2167
- NPI assigned
- Apr 24, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 33925 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
21 Tamal Vista Blvd Ste 225
Corte Madera, CA 94925-1130
Mailing address
21 Tamal Vista Blvd Ste 225
Corte Madera, CA 94925-1130
Phone (415) 216-2167
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33925 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1831624162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 TAMAL VISTA BLVD STE 225",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251130",
"telephone_number": "415-216-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 TAMAL VISTA BLVD STE 225",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251130",
"telephone_number": "415-216-2167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNET",
"first_name": "ALISSA",
"middle_name": "C",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "33925",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.