Active NPI
Linda Madeleine Prayer, M.A.
- Psychologist
- Sacramento, CA
National Provider Identifier
1902106263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB94021450
- Practice address
- 2830 I St
# 104
Sacramento, CA 95816-4311 - Phone
- (916) 955-6466
- NPI assigned
- Nov 2, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB94021450 | CA | Primary |
Addresses
Primary practice location
2830 I St
# 104
Sacramento, CA 95816-4311
Mailing address
2830 I Street
#104
Sacramento, CA 95816
Phone (916) 955-6466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680325078 | Other | CA | PRIVATE PRACTICE IN CLINICAL PSYCHOLOGY |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94021450 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428192000000",
"number": "1902106263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 I STREET",
"address_2": "#104",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "916-955-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 I ST",
"address_2": "# 104",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164311",
"telephone_number": "916-955-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAYER",
"first_name": "LINDA",
"middle_name": "MADELEINE",
"name_prefix": "Miss",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2015-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB94021450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PRACTICE IN CLINICAL PSYCHOLOGY",
"identifier": "680325078",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.