Healthcare Provider Details
I. General information
NPI: 1518526581
Provider Name (Legal Business Name): THE ANXIETY TREATMENT CENTER OF SACRAMENTO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2019
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10419 OLD PLACERVILLE RD STE 258
SACRAMENTO CA
95827-2527
US
IV. Provider business mailing address
10419 OLD PLACERVILLE RD STE 258
SACRAMENTO CA
95827-2527
US
V. Phone/Fax
- Phone: 916-366-0637
- Fax:
- Phone: 916-366-0637
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBIN
DIANE
ZASIO
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: PSYD LCSW
Phone: 916-366-0647