Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY AUGUSTINE DIREGOLO, PHD
Active Sole ProprietorDR. JERRY AUGUSTINE DIREGOLO, PHD is a Child, Clinical Psychologist healthcare provider located in ROSEVILLE, California. NPI 1427110816 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · ROSEVILLE, CA
Registration Details
- NPI Number
- 1427110816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2006 (19.709349300492 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PSY4274 (CA)PSY4274 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 EUREKA RDROSEVILLE, CA, 956613027Browse CA providers · Browse ZIP 95661
- Phone
- 9167717610
- Fax
- 9167717650
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.