Organization
HEALTH PSYCHOLOGY SACRAMENTO
Active
Organization
HEALTH PSYCHOLOGY SACRAMENTO
Active
Other names
Fair Oaks Therapeuticum
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URSULA R. STEHLE PHD (CLINICAL DIRECTOR)
(916) 962-0222
Entity
Organization
Contact information
Practice address
4112 PENNSYLVANIA AVE, FAIR OAKS, CA 95628-7413
(916) 962-0222
(916) 962-7510
Mailing address
4112 PENNSYLVANIA AVE, FAIR OAKS, CA 95628-7413
(916) 962-0222
(916) 962-7510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 13576
CA
106H00000X
Marriage & Family Therapist
LMFT 50205
CA
106H00000X
Marriage & Family Therapist
MFT 37218
CA
106H00000X
Marriage & Family Therapist
MFT 47221
CA
163W00000X
Registered Nurse
RN 427621
CA
163W00000X
Registered Nurse
RN213291
CA
261Q00000X
Clinic/Center
Primary
PSY13576
CA
Other
Enumeration date
08/16/2006
Last updated
01/28/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up