Healthcare Provider Details

I. General information

NPI: 1518628981
Provider Name (Legal Business Name): ADRIANNA MARIE CHAPARRO PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 LAGUNA SPRINGS DR STE 200
ELK GROVE CA
95758-7991
US

IV. Provider business mailing address

9245 LAGUNA SPRINGS DR STE 200
ELK GROVE CA
95758-7991
US

V. Phone/Fax

Practice location:
  • Phone: 916-304-4995
  • Fax:
Mailing address:
  • Phone: 916-304-4995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: