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CLARISSA SHADAE CARRILLO
NPI 1780240119
Rehabilitation Practitioner in Sacramento, CA

Active since May 10, 2019
2829 WATT AVE, SACRAMENTO, CA 95821(916) 531-0143 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Jan 28, 2020, May 10, 2019 (3 updates tracked since 2019).

About Clarissa Shadae Carrillo NPPES

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

CLARISSA SHADAE CARRILLO (NPI 1780240119) is an individual rehabilitation practitioner in Sacramento, California and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1780240119
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameCLARISSA SHADAE CARRILLO
Location Address2829 WATT AVESacramento, CA 95821-6200
Mailing Address811 Grand AveSacramento, CA 95838-3466 · (916) 922-9868
Phone(916) 531-0143
Sole ProprietorYes
Enumeration DateMay 10, 2019
Last NPPES UpdateApril 25, 20253 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1780240119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2829 WATT AVE, Sacramento, CA 95821
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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.

MRS. SAMANTHA G. ARBUCKLE
Student in an Organized Health Care Education/Training Program
2829 WATT AVE
SACRAMENTO, CA 95821
Sacramento County (916) 539-1221
BRENDA DENISE CLINE MFT, CADC II
Marriage & Family Therapist
2829 WATT AVE, SUITE 150
SACRAMENTO, CA 95821
Sacramento County (916) 482-1132
MICHAEL HANEHAN MFT
Marriage & Family Therapist
2829 WATT AVE
SACRAMENTO, CA 95821
Sacramento County (916) 979-3527
JASON MATTHEW SWAIN LCSW
Social Worker (Clinical)
2829 WATT AVE
SACRAMENTO, CA 95821
Sacramento County (916) 979-3556
RONALD PLUMLEE LCSW
Social Worker (Clinical)
2829 WATT AVE
SACRAMENTO, CA 95821
Sacramento County (916) 973-5000
MS. VICTORIA ROSE BUTLER MASTER OF SOC WRK MS
Social Worker (Clinical)
2829 WATT AVE
SACRAMENTO, CA 95821
Sacramento County (916) 482-1132
MR. CHRISTOPHER LOUIS LAROSE
Case Manager/Care Coordinator
2829 WATT AVE
SACRAMENTO, CA 95821
Sacramento County (203) 889-1344
LINDA L. KNOWLES MFT
Counselor (Addiction (Substance Use Disorder))
2829 WATT AVE, SUITE 150
SACRAMENTO, CA 95821
Sacramento County (916) 482-1131

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 Clarissa Carrillo's NPI number?

The NPI number for Clarissa Carrillo is 1780240119. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Clarissa Carrillo located?

Clarissa Carrillo practices at 2829 Watt Ave, Sacramento, CA 95821. The listed phone number is (916) 531-0143.

What is Clarissa Carrillo's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Clarissa Carrillo was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.