Clare Lewis, PT – Clinical Psychologist in Auburn, CA

Key facts

NPI: 1902017106
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: PSY24309 (CA)
Practice address: 2945 Bell Road
# 215
Auburn, CA 95603
Phone: (916) 367-1888
Fax: (530) 888-0885
NPI assigned: May 28, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Silver Lake Psychology Inc. Psychologist · Los Angeles, CA · NPI 1932651817

Medicare reassignment Care Compare group CA
Schaack Physical Therapy PC Physical Therapist · Lincoln, CA · NPI 1477987261

NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Clinical Psychologist
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Silver Lake Psychology Inc (19 clinicians)

Practice addresses (Care Compare)

2301 Hyperion Ave
Suite a
Los Angeles, CA 90027-4711
Phone (310) 726-3890

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20200723002199	CA	Practitioner - Clinical Psychologist	0749377521	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
PSY24309	CA	MD	Clinical Psychologist
24309	CA	MD	Prosthodontist

Practice roles

Organization	Specialty	Status	New patients
Schaack Physical Therapy PC	Physical Therapist	Past since Mar 28, 2013	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	PSY24309	CA	Yes
Physical Therapist	225100000X	PT10647	CA

Addresses

Primary practice location

2945 Bell Road
# 215
Auburn, CA 95603

Mailing address

3127 Spinning Rod Way
Sacramento, CA 95833-9625
Phone (916) 359-3127

Other practice location 1

595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021
Phone (818) 839-1365

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2020.

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1902017106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 SPINNING ROD WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958339625",
            "telephone_number": "916-359-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 BELL ROAD",
            "address_2": "# 215",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "916-367-1888",
            "fax_number": "530-888-0885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 E Colorado Blvd Ste 324",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911012021",
            "country_code": "US",
            "telephone_number": "818-839-1365",
            "fax_number": "626-385-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CLARE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24309",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

All providers in Auburn, 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 Oct 5, 2020. 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).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.