KAREN MICHELLE FAGERSTROM PSY.D.
NPI 1154724383
Psychologist in Gold River, CA

Active since October 02, 2014PECOS Enrolled
11344 COLOMA RD, SUITE 605, GOLD RIVER, CA 95670(916) 709-1170 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Michelle Fagerstrom Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN MICHELLE FAGERSTROM PSY.D. (NPI 1154724383) is an individual psychologist in Gold River, California and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154724383
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKAREN MICHELLE FAGERSTROMCredential: PSY.D.
Location Address11344 COLOMA RD, SUITE 605Gold River, CA 95670-4457
Mailing Address11344 Coloma Rd, Suite 605Gold River, CA 95670-4457 · (916) 709-1170
Sole ProprietorNo
Enumeration DateOctober 2, 2014
Last NPPES UpdateJanuary 3, 2022
NPI 1154724383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11344 COLOMA RD, Gold River, CA 95670

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Karen Michelle Fagerstrom Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
11344 COLOMA RD, SUITE 435
GOLD RIVER, CA 95670
Speech-Language Pathologist
11344 COLOMA RD
GOLD RIVER, CA 95670
Psychologist (Clinical)
11344 COLOMA RD, SUITE 605
GOLD RIVER, CA 95670
Behavior Technician
11344 COLOMA RD
GOLD RIVER, CA 95670
Pediatrics
11344 COLOMA RD, STE 445
GOLD RIVER, CA 95670
Behavior Technician
11344 COLOMA RD
GOLD RIVER, CA 95670
Speech-Language Pathologist
11344 COLOMA RD, #810
GOLD RIVER, CA 95670
Chiropractor
11344 COLOMA RD, SUITE 355
GOLD RIVER, CA 95670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Fagerstrom's NPI number?

The NPI number for Karen Fagerstrom is 1154724383. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Karen Fagerstrom located?

Karen Fagerstrom practices at 11344 Coloma Rd Suite 605, Gold River, CA 95670. The listed phone number is (916) 709-1170.

What is Karen Fagerstrom's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Karen Fagerstrom enrolled in Medicare?

Yes. Karen Fagerstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karen Fagerstrom was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.