Organization Active NPI

Insight Psychological Services and Testing, Inc.

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1912736992
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INSIGHT PSYCHOLOGICAL SERVICES AND TESTING, INC.
Practice address
4623 Hazelwood Ave
Sacramento, CA 95821-6722
Phone
(619) 807-1949
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Kimberly A MitchellNPI 1437438066
Title
Clinical Psychologist
Phone
(619) 807-1949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4623 Hazelwood Ave
Sacramento, CA 95821-6722

Mailing address

4623 Hazelwood Ave
Sacramento, CA 95821-6722
Phone (619) 807-1949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004003368 CA Part B Supplier - Clinic/Group Practice 2961933650 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1912736992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 HAZELWOOD AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216722",
            "telephone_number": "619-807-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 HAZELWOOD AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216722",
            "telephone_number": "619-807-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT PSYCHOLOGICAL SERVICES AND TESTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-807-1949"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.