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LARRY WASSON III
NPI 1487188611
Psychologist - Clinical in Sacramento, CA

Active since April 14, 2017PECOS Enrolled
1011 22ND ST, SACRAMENTO, CA 95816(305) 933-8172 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2024, Apr 14, 2017 (2 updates tracked since 2017).

About Larry Wasson Iii NPPES

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

LARRY WASSON III (NPI 1487188611) is an individual clinical provider in Sacramento, California, licensed in California (34925) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487188611
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameLARRY WASSON III
Location Address1011 22ND STSacramento, CA 95816-4907
Mailing Address2358 Maritime Dr Ste 110Elk Grove, CA 95758-3662
Phone(305) 933-8172
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 14, 2017
Last NPPES UpdateMay 1, 20242 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1487188611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 34925
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1011 22ND ST, Sacramento, CA 95816
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry Wasson Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446695506
PECOS Enrollment IDI20240228001864
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

KYLE MYERS
Marriage & Family Therapist
1011 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 284-1416
TASHNA WARD
Marriage & Family Therapist
1011 22ND ST
SACRAMENTO, CA 95816
Sacramento County (707) 704-2465
SOPHIA MILLER
Psychologist (Clinical)
1011 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 284-1416
DR. KATIE BAUTCH
Psychologist (Clinical)
1011 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 905-7012
VANTAGE POINT CENTER FOR PSYCHOTHERAPY
Counselor (Mental Health)
1011 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 284-1416
NAZANIN KHATAMI
Student in an Organized Health Care Education/Training Program
1011 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 284-1416
DR. TRISHA D WALLIS, PSYCHOLOGIST, APC
Psychologist (Clinical)
1011 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 996-5424
GURLEEN KAUR THANDI
Psychologist
1011 22ND ST
SACRAMENTO, CA 95816
Sacramento County (916) 284-1416

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 Larry Wasson's NPI number?

The NPI number for Larry Wasson is 1487188611. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Larry Wasson located?

Larry Wasson practices at 1011 22nd St, Sacramento, CA 95816. The listed phone number is (305) 933-8172.

What is Larry Wasson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Larry Wasson enrolled in Medicare?

Yes. Larry Wasson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larry Wasson was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.