Healthcare Provider Details

I. General information

NPI: 1588529804
Provider Name (Legal Business Name): TIFFANI ARLINGTON PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 BLACKROCK DR
SACRAMENTO CA
95835-1250
US

IV. Provider business mailing address

2531 JOHN GLENN WAY
SACRAMENTO CA
95834-4023
US

V. Phone/Fax

Practice location:
  • Phone: 916-426-6326
  • Fax:
Mailing address:
  • Phone: 916-426-6326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: