Provider Demographics
NPI:1750743662
Name:ANSELMI PSYCHOLOGY GROUP, INC.
Entity type:Organization
Organization Name:ANSELMI PSYCHOLOGY GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANSELMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-288-2086
Mailing Address - Street 1:406 MAIN ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-4613
Mailing Address - Country:US
Mailing Address - Phone:831-288-2086
Mailing Address - Fax:
Practice Address - Street 1:406 MAIN ST
Practice Address - Street 2:SUITE 402
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-4613
Practice Address - Country:US
Practice Address - Phone:831-288-2086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17389103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty