Support for Your Life
NPI 1255034203 · Clinical Psychologist · Auburn, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Support for Your Life is a Clinical Psychologist organization in Auburn, CA (NPI 1255034203).
Provider details
- NPI number
- 1255034203
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kristin Kaminski-Wadle, Director(530) 500-5885
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Adult Development & Aging Psychologist103TA0700X
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-27
- Last updated
- 2023-03-27
- Certified
- 2023-03-26
Frequently asked questions
- What is Support for Your Life's NPI number?
- Support for Your Life's National Provider Identifier (NPI) is 1255034203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Support for Your Life?
- Support for Your Life is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Support for Your Life located?
- Support for Your Life's practice location on file with NPPES is 701 High St Ste 227, Auburn, CA 95603-4727.
- What is Support for Your Life's phone number?
- The practice phone number listed in the NPPES registry for Support for Your Life is (530) 500-5885.
- Does Support for Your Life accept Medicare?
- Support for Your Life is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Support for Your Life?
- The authorized official listed on Support for Your Life's NPPES record is Kristin Kaminski-Wadle, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Support for Your Life's NPI active?
- Yes — Support for Your Life's NPI (1255034203) is active in the NPPES registry as of the last update on 2023-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.