CAROL VISSER, PHD INC
NPI 1306020011
Clinic/Center - Adult Mental Health in Auburn, CA
About Carol Visser, Phd Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL VISSER, PHD INC (NPI 1306020011) is a healthcare organization registered as an adult mental health in Auburn, California and active in the NPI registry since December 2007. The organization lists Carol J Visser, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carol Visser, Phd Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carol Visser, Phd Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Carol Visser, Phd Inc's NPI number?
The NPI number for Carol Visser, Phd Inc is 1306020011. It was assigned to this organization in the NPPES registry on December 18, 2007.
Where is Carol Visser, Phd Inc located?
Carol Visser, Phd Inc is located at 122 East St, Auburn, CA 95603. The listed phone number is (530) 889-8480.
What is Carol Visser, Phd Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Carol Visser, Phd Inc enrolled in Medicare?
Yes. Carol Visser, Phd Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carol Visser, Phd Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Carol Visser, Phd Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Carol Visser, Phd Inc was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carol Visser, Phd Inc · NPI 1306020011
Adult Mental Health organization in Auburn, California. Organization record, active in the CMS NPPES registry since December 18, 2007.
## Identity
- **NPI:** 1306020011 (Entity type: Organization)
- **Enumerated:** December 18, 2007
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Carol Visser, PRESIDENT
## Practice location
- **Address:** 122 EAST ST, Auburn, CA 95603-5119
- **Phone:** (530) 889-8480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2007
- **Other identifiers:** Other PSY8619 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1306020011) · Data from the CMS NPPES public registry.