Allison J. Aclufi, PSYCHOLOGIST PHD EDD
Individual provider Active NPI Psychologist · Lakeport, CA
NPI 1972900124 · NPPES record last updated Dec 3, 2014
Key facts
- NPI
- 1972900124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 26810 (CA)
- Practice address
- 380 N Main St
Suite J
Lakeport, CA 95453-4843 - Phone
- (213) 220-8384
- NPI assigned
- Dec 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26810 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 26810 | CA | Yes |
| Clinical Psychologist | 103TC0700X | 26810 | CA |
Addresses
Primary practice location
380 N Main St
Suite J
Lakeport, CA 95453-4843
Mailing address
2480 Ashe St
Lakeport, CA 95453-3210
Phone (213) 220-8384
Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.