DR. CLARY TEPPER PH.D.
NPI 1417249269
Psychologist in Sacramento, CA

Active since May 12, 2011Opted out of Medicare · through Oct 1, 2026
2509 CAPITOL AVENUE, SACRAMENTO, CA 95816(916) 607-2299 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clary Tepper Ph.d. NPPES

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

DR. CLARY TEPPER PH.D. (NPI 1417249269) is an individual psychologist in Sacramento, California, licensed in California (PSY19115) and active in the NPI registry since May 2011. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417249269
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CLARY TEPPERCredential: PH.D.
Location Address2509 CAPITOL AVENUESacramento, CA 95816
Mailing Address2509 Capitol AvenueSacramento, CA 95816 · (916) 607-2299
Sole ProprietorYes
Enumeration DateMay 12, 2011
NPI 1417249269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY19115
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.
2509 CAPITOL AVENUE, Sacramento, CA 95816

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Clary Tepper Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Clary Tepper's NPI number?

The NPI number for Clary Tepper is 1417249269. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Clary Tepper located?

Clary Tepper practices at 2509 Capitol Avenue, Sacramento, CA 95816. The listed phone number is (916) 607-2299.

What is Clary Tepper's specialty?

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

Is Clary Tepper enrolled in Medicare?

No. Clary Tepper has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Clary Tepper was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.