Healthcare Provider Details

I. General information

NPI: 1801706072
Provider Name (Legal Business Name): MIND AND MATCH CALIFORNIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 UNIVERSITY AVE
SACRAMENTO CA
95825-6702
US

IV. Provider business mailing address

867 BOYLSTON ST STE 1582
BOSTON MA
02116-2774
US

V. Phone/Fax

Practice location:
  • Phone: 608-284-8867
  • Fax:
Mailing address:
  • Phone: 608-284-8867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA ODORZYNSKI
Title or Position: AUTHORIZED AGENT
Credential:
Phone: 608-284-8867