DR. JOHN J. WICKS


Address: 2128 V St, Sacramento, CA 95818-1732
Phone: 9164561876

DR. JOHN J. WICKS (NPI# 1710150685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710150685
Entity Type Individual
Full Name DR. JOHN J. WICKS
Practice Address 2128 V St
Sacramento
CA 95818-1732
Practice Telephone 9164561876
Practice Fax Number 9167362006
Mailing Telephone 9164561876
Mailing Fax Number 9167362006
Enumeration Date 2008-04-10
Last Update Date 2008-04-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PSY 7564 CA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PSY 7564 CA Behavioral Health & Social Service Providers

Office Location

Street Address 2128 V ST
City SACRAMENTO
State CA
Zip Code 95818-1732

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922618917 Alyssa Weakley Clinical Neuropsychologist Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 2020-08-04
1396058780 Lenore A Tate Clinical Neuropsychologist 2030 W El Camino Ave Ste 200, Sacramento, CA 95833-1867 2010-07-14
1588816391 Maria Moleski Clinical Neuropsychologist 2631 Phyllis Ave, Sacramento, CA 95820-4642 2008-10-13
1659530129 Glenn Alan Hammel Clinical Neuropsychologist 1061 Sagamore Way, Sacramento, CA 95822-1714 2008-06-09
1003029471 Lawrence Manley Wilcox Clinical Neuropsychologist 1421 P St., #16, Sacramento, CA 95814-5921 2007-05-08
1649326810 Grant L. Hutchinson Clinical Neuropsychologist 730 Alhambra Blvd, Suite 205, Sacramento, CA 95816-3847 2007-01-28
1700934247 Nancy Bell Mahaney Clinical Neuropsychologist 1555 River Park Dr, Suite 205, Sacramento, CA 95815-4612 2007-01-08
1093874133 Catherine Elise Broomand Clinical Neuropsychologist 2345 Fair Oaks Blvd # 14, Sacramento, CA 95825-4708 2006-12-06
1962598284 June Paltzer Clinical Neuropsychologist 1329 Howe Avenue, Suite 201, Sacramento, CA 95825-3363 2006-10-05
1679546808 May Jung Kim Clinical Neuropsychologist 7300 Wyndham Dr, Sacramento, CA 95823-4913 2006-02-08
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Competitor

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City SACRAMENTO
Zip Code 95818

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Dataset Information

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.

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