Allison J. Aclufi, PSYCHOLOGIST PHD EDD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

26810 Issued in CA

Practice address

380 N Main St
Suite J
Lakeport, CA 95453-4843

Phone

(213) 220-8384

NPI assigned

Dec 3, 2014

Last updated

Dec 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1972900124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 ASHE ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954533210",
            "telephone_number": "213-220-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N MAIN ST",
            "address_2": "SUITE J",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534843",
            "telephone_number": "213-220-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACLUFI",
        "first_name": "ALLISON",
        "middle_name": "J.",
        "credential": "PSYCHOLOGIST PHD EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26810",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Scott Abildgaard, X-RAY TECH R.T
• Corey Adams, M.S., CCC-SLP
• Chalice Ann Addis, FNP-BC
• Adventist Health California Medical Group, Inc.
• Adventist Health Clearlake Hospital Inc (Adventist Health Clear Lake)
• Adventist Health Clearlake Hospital, Inc (Adventist Health Clear Lake)

• Psychologist in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.