Natalie S Coss, PH.D.

Individual provider Active NPI Clinical Psychologist · Represa, CA

NPI 1952551202 · NPPES record last updated Sep 23, 2008

Key facts

NPI
1952551202
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
17955 (CA)
Practice address
100 Prison Rd
Represa, CA 95671-3000
Phone
(916) 985-8610
Fax
(916) 294-3018
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
17955CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Corrections and Rehabilitation-Headquarters Past
since Feb 9, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 17955 CA Yes

Addresses

Primary practice location

100 Prison Rd
Represa, CA 95671-3000

Mailing address

PO Box 2150
Carmichael, CA 95609-2150
Phone (916) 203-8150

Other providers in Represa, CA

All providers in Represa, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.