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DR. NICOLETTE BAUTISTA PSY.D.
NPI 1932430212
Psychologist - Clinical in Folsom, CA

Active since January 26, 2010
110 BLUE RAVINE RD STE 104, FOLSOM, CA 95630(916) 505-4419(916) 805-5145 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2025, Jan 9, 2025, Sep 19, 2019 (3 updates tracked since 2019).

About Dr. Nicolette Bautista Psy.d. NPPES

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

DR. NICOLETTE BAUTISTA PSY.D. (NPI 1932430212) is an individual clinical provider in Folsom, California, licensed in California (28563) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1932430212
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLETTE BAUTISTACredential: PSY.D.
Location Address110 BLUE RAVINE RD STE 104Folsom, CA 95630-4712
Mailing Address110 Blue Ravine Rd Ste 104Folsom, CA 95630-4712 · (916) 505-4419 · Fax (916) 805-5145
Phone(916) 505-4419
Fax(916) 805-5145
Sole ProprietorNo
Enumeration DateJanuary 26, 2010
Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1932430212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 28563
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.
110 BLUE RAVINE RD STE 104, Folsom, CA 95630
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Other Identifiers 2

Other1063278943Group Npi
Other834276744CA · Federal Government

Other Providers at the Same Location NPPES 3

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

WESTCOAST TRAUMA AND TESTING SPECIALISTS, INC.
Psychologist (Clinical)
110 BLUE RAVINE RD STE 104
FOLSOM, CA 95630
Sacramento County (916) 234-6585
CAROLIN GARDNER LMFT, LPCC
Marriage & Family Therapist
110 BLUE RAVINE RD STE 104
FOLSOM, CA 95630
Sacramento County (916) 899-2299
CAROLIN GARDNER MARRIAGE AND FAMILY THERAPY INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
110 BLUE RAVINE RD STE 104
FOLSOM, CA 95630
Sacramento County (916) 899-2299

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 Nicolette Bautista's NPI number?

The NPI number for Nicolette Bautista is 1932430212. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Where is Nicolette Bautista located?

Nicolette Bautista practices at 110 Blue Ravine Rd Ste 104, Folsom, CA 95630. The listed phone number is (916) 505-4419.

What is Nicolette Bautista's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicolette Bautista was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.