Healthcare Provider Details

I. General information

NPI: 1760860100
Provider Name (Legal Business Name): KRYSTAL B PIUMATTI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2015
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 COLLEGE ST STE 205
WOODLAND CA
95695-3483
US

IV. Provider business mailing address

327 COLLEGE ST STE 205
WOODLAND CA
95695-3483
US

V. Phone/Fax

Practice location:
  • Phone: 916-288-7484
  • Fax:
Mailing address:
  • Phone: 916-288-7484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number130328
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35746
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number35746
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: