Individual provider Active NPI

Sujata Saha Legend, PSY D

  • Clinical Child & Adolescent Psychologist
  • Walnut Creek, CA
National Provider Identifier
1962658138
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
2730 Shadelands Dr
Walnut Creek, CA 94598-2538
Phone
(925) 818-7343
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

2730 Shadelands Dr
Walnut Creek, CA 94598-2538

Mailing address

1607 Dowling Dr
Irving, TX 75038-5947
Phone (925) 818-7343

Other practice location 1

2131 Ashton Ave
West Menlo Park, CA 94025-6501
Phone (925) 818-7343

Other practice location 2

1400 Preston Rd Ste 260
Plano, TX 75093-5183
Phone (214) 396-3960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505000886 TX Practitioner - Clinical Psychologist 8325565393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle Rinella, PSYD, PAGroup PAC ID 5395060891, 9 clinicians

Practice addresses (Care Compare)

1400 Preston Rd
Suite 260
Plano, TX 75093-5183
Phone (214) 396-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39651TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Rinella, PSYD, PA Psychologist CurrentSince Apr 30, 2025 Accepting new patients
CPST Healthcare, LLC Psychologist CurrentSince Sep 17, 2025 Accepting new patients

Locations

1320 S University Dr
Ste 810
Fort Worth, TX 76107
Phone (945) 867-7823

1400 Preston Rd
Ste 260
Plano, TX 75093
Phone (214) 396-3960

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.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1962658138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 DOWLING DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750385947",
            "telephone_number": "925-818-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "925-818-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 Ashton Ave",
            "address_purpose": "LOCATION",
            "city": "West Menlo Park",
            "state": "CA",
            "postal_code": "940256501",
            "country_code": "US",
            "telephone_number": "925-818-7343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Preston Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935183",
            "country_code": "US",
            "telephone_number": "214-396-3960",
            "fax_number": "214-396-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGEND",
        "first_name": "SUJATA",
        "middle_name": "SAHA",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.