Individual provider Active NPI

Sarvenaz Sepehri, PSY.D.

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1891128062
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
28410 Issued in CA
Practice address
601 University Ave Ste 144
Sacramento, CA 95825-6706
Phone
(916) 207-2867
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 24252 NY
Clinical Psychologist 103TC0700X 24252 NY
Clinical Psychologist 103TC0700X 37232 TX
Clinical Psychologist 103TC0700X 28410 CA Primary

Addresses

Primary practice location

601 University Ave Ste 144
Sacramento, CA 95825-6706

Mailing address

601 University Ave Ste 144
Sacramento, CA 95825-6706
Phone (916) 207-2867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 15, 2026 through Feb 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24252NYMDPsychologist
37232TXMDClinical Psychologist
28410CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1891128062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY AVE STE 144",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256706",
            "telephone_number": "916-207-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY AVE STE 144",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256706",
            "telephone_number": "916-207-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPEHRI",
        "first_name": "SARVENAZ",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "24252",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "24252",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37232",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.