Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicolette Bautista, PSYD

Individual provider Clinical Psychologist · NPI 1932430212

Dr. Nicolette Bautista, PSYD is a Clinical Psychologist in Folsom, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

110 Blue Ravine Rd Ste 104
Folsom, CA 95630-4712
Phone: (916) 505-4419
Fax: (916) 805-5145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 28563 (CA)

Record details

NPI number1932430212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 26, 2010
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

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