Betsy E. Galicia
Individual provider Active NPI Clinical Psychologist · Patton, CA
NPI 1891595682 · NPPES record last updated Mar 19, 2025
Key facts
- NPI
- 1891595682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 35411 (CA)
- Practice address
- 3102 E Highland Ave
Patton, CA 92369-7813 - Phone
- (909) 672-5000
- NPI assigned
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250505002138 | CA | Practitioner - Clinical Psychologist | 4688191596 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current |
Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current |
Accepting new patients |
Locations
3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35411 | CA | Yes |
Addresses
Primary practice location
3102 E Highland Ave
Patton, CA 92369-7813
Mailing address
3102 E Highland Ave
Patton, CA 92369-7813
Other providers in Patton, CA
- Ron Foo
- Ishea Monique Fort
- Troy Steven Freimuth
- Nashira Yvette Funn
- Laura Gaitan
- Nazem Ghobrial
- Virginia J Gibialante
- Julius Gulawaiz Gill
- David M Glassmire
- Sarla Gnanamuthu
All providers in Patton, 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 Mar 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.