CAROL VISSER PHD INC NPI 1306020011

NPI Information

  • NPI: 1306020011
  • Provider Name: CAROL VISSER, PHD INC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 122 EAST ST
    AUBURN, CA
    ZIP 95603
  • Phone: (530) 889-8480

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NPI Details

CAROL VISSER, PHD INC is an adult mental health clinic center in Auburn, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CAROL VISSER, PHD INC NPI is 1306020011. The provider is registered as an organization entity type.

The provider's business location address is:

122 EAST ST
AUBURN, CA
ZIP 95603-119
Phone: (530) 889-8480

The provider's authorized official is Carol J Visser .
The authorized official title is President and has the following contact phone number (530) 889-8480.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthPSY8619CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PSY8619OTHERCALIFORNIACLINICAL PSYCH LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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