Healthcare Provider Details

I. General information

NPI: 1750168043
Provider Name (Legal Business Name): CITY OF TREES ASSESSMENT AND PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 FULTON AVE STE 218
SACRAMENTO CA
95825-4299
US

IV. Provider business mailing address

9311 DEFIANCE CIR
SACRAMENTO CA
95827-1011
US

V. Phone/Fax

Practice location:
  • Phone: 916-224-6820
  • Fax:
Mailing address:
  • Phone: 330-317-9274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. HALEIGH SCOTT
Title or Position: CEO
Credential: PH.D
Phone: 916-913-1542