DR. BRENDA G VACCARO (NPI# 1184934911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184934911 |
| Entity Type | Individual |
| Full Name | DR. BRENDA G VACCARO |
| Credential | MA, PSYD |
| Practice Address |
1412 S St Ste 100 Sacramento CA 95811-7155 |
| Practice Telephone | 9166168561 |
| Practice Fax Number | 9169142074 |
| Mailing Telephone | 9166168561 |
| Mailing Fax Number | 9169142074 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY29151 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSB34264 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8080 Madison Ave, Suite 200 D, Fair Oaks, CA 956283759 | 9166168561 | 9165347753 |
| Street Address |
1412 S ST STE 100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95811-7155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366635526 | La Tanya Alicia Takla | Psychologist | 1412 S St Ste 100, Sacramento, CA 95811-7155 | 2007-08-21 |
| 1770114662 | Spark Center for Psychology, Inc. | Clinic/Center | 1412 S St Ste 100, Sacramento, CA 95811-7155 | 2020-01-29 |
| 1265936793 | Jasminka Rainey | Social Worker | 1412 S St Ste 100, Sacramento, CA 95811-7155 | 2018-03-20 |
| 1760806533 | Stephanie Espinoza | Psychologist | 1412 S St Ste 100, Sacramento, CA 95811-7155 | 2014-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891190 | Teresa Sy | Behavior Technician | 610 Bercut Dr. Suite B, Sacramento, CA 95811 | 2018-12-03 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| 1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
| 1174000855 | Clinicians Connect Care Home Health & Hospice Services | Home Health | 716 19th Street, Suite 200, Sacramento, CA 95811 | 2018-07-25 |
| 1992202345 | Benjamin James Leibold | Behavior Technician | 610 Bercut Drive, Suite B, Sacramento, CA 95811 | 2018-04-11 |
| 1669979233 | Aja Jones | Counselor | 401 S Street, Sacramento, CA 95811 | 2018-04-10 |
| 1821511916 | Lucas John Monaco | Counselor | 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 | 2017-07-20 |
| 1275089963 | Sergio Vicuna, D.d.s., Inc | Dentist | 1804 19th St, Suite 100, Sacramento, CA 95811 | 2016-09-01 |
| 1386057495 | Chelsea Turner | Counselor | 600 Bercut Drive, Sacramento, CA 95811 | 2014-06-05 |
| 1427473636 | Sidney Caldwell | Counselor | 401 S Street Sacramento, Sacramento, CA 95811 | 2014-02-25 |
| Find all providers in zip 95811 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608613 | Emily Fortney | Psychologist | 5960 S Land Park Dr # 1194, Sacramento, CA 95822-3313 | 2020-08-06 |
| 1750916177 | Assessment and Development Center of Sacramento | Psychologist | 1555 River Park Dr Ste 103, Sacramento, CA 95815-4603 | 2020-03-05 |
| 1376009068 | Alexis Piciucco | Psychologist | 9700 Business Park Dr Ste 207, Sacramento, CA 95827-1717 | 2019-02-18 |
| 1235625765 | John Alan Foster | Psychologist | 8943 Twin Falls Dr, Sacramento, CA 95826-2136 | 2018-07-09 |
| 1447609995 | Susan Mendez | Psychologist | 1453 45th St, Sacramento, CA 95819-4137 | 2016-06-06 |
| 1881065993 | Tara Cryderman | Psychologist | 2801 57th St, Sacramento, CA 95817-2403 | 2015-10-14 |
| 1194122069 | Satinder Gill | Psychologist | 4701 X St Ste E, Sacramento, CA 95817-2219 | 2014-11-20 |
| 1093119489 | Robert Alexander Prentice | Psychologist | 2228 Murieta Way, Sacramento, CA 95822-2851 | 2014-10-14 |
| 1407284516 | Christina Nicole Spragg | Psychologist | 2109 J St, Suite # 201, Sacramento, CA 95816-4709 | 2013-10-29 |
| 1891128062 | Sarvenaz Sepehri | Psychologist | 601 University Ave Ste 144, Sacramento, CA 95825-6706 | 2013-08-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95811 |
Please comment or provide details below to improve the information on DR. BRENDA G VACCARO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.