NPI 1295279883 · live from the CMS NPI Registry
Acacia Psychological Corporation
Psychologist, Clinical in Davis, CA. National Provider Identifier 1295279883, active.
NPI record
| NPI | 1295279883 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 207 E St Ste B, Davis, CA 95616 |
| Practice phone | 805-472-6099 |
| Mailing address | 281 Magnolia Ave Ste 300, Goleta, CA 93117 |
| Enumerated | December 15, 2016 |
| Last updated | February 26, 2020 |
| Authorized official | Jess Rodriguez, Chief Business Officer |
| Other names | Acacia Counseling & Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 26685 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.