Sahli A Cavallaro, PHD
Individual provider Active NPI Clinical Psychologist · Beale Afb, CA
NPI 1841361565 · NPPES record last updated Jan 9, 2023
Key facts
- NPI
- 1841361565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY25771 (CA)
- Practice address
- 15301 Warren Shingle Rd
Beale Afb, CA 95903-1907 - Phone
- (518) 527-1040
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25771 | CA | MD | Clinical Psychologist |
| 011475-2 | NY | MD | Clinical Psychologist |
| 011475 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Psychological Associates | Clinical | Past | Accepting new patients |
| Northeast Psychological Associates PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 011475-2 | NY | |
| Clinical Psychologist | 103TC0700X | PSY25771 | CA | Yes |
Addresses
Primary practice location
15301 Warren Shingle Rd
Beale Afb, CA 95903-1907
Mailing address
15301 Warren Shingle Rd
Beale Afb, CA 95903-1907
Phone (518) 527-1040
Other providers in Beale Afb, CA
- Sadina Lynn Brecheisen-Beach
- Joshua Thomas Breding
- Cole Brennan
- Dennis William Bull
- Benjamin Alden Burdick
- Jeffrey G Clayton
- James Clement
- Justine Cox
- Prince A Denson V
- Shelbi Duncan
All providers in Beale Afb, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.