IndividualActive
Srbui Dertsakyan, M.A., PSY.D.
NPI 1366706806 · Adult Development & Aging Psychologist · Fairfield, CA
Provider details
- NPI number
- 1366706806
- Entity type
- Individual
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A., PSY.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1745 Enterprise Dr
Fairfield, CA 94533-5801
Phone: (510) 318-4461
Fax: (707) 419-4952
Street-level locationGet directions
Mailing address
900 N Church St
Lodi, CA 95240-1282
Registry dates
- Enumerated
- 2012-06-29
- Last updated
- 2019-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.