Organization Active NPI

Stewart Psychological Services, Inc.

  • Psychologist
  • Fresno, CA
National Provider Identifier
1053549576
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY21346 Issued in CA
Legal business name
STEWART PSYCHOLOGICAL SERVICES, INC.
Practice address
1322 E Shaw Ave Ste 345
Fresno, CA 93710-7904
Phone
(559) 323-7263
Fax
(559) 323-8077
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tabatha Stewart, PSY.D.
Title
President
Phone
(559) 224-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY21346 CA Primary

Addresses

Primary practice location

1322 E Shaw Ave Ste 345
Fresno, CA 93710-7904

Mailing address

1322 E Shaw Ave Ste 345
Fresno, CA 93710-7904
Phone (559) 224-2286

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1053549576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E SHAW AVE STE 345",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107904",
            "telephone_number": "559-224-2286",
            "fax_number": "559-224-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E SHAW AVE STE 345",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107904",
            "telephone_number": "559-323-7263",
            "fax_number": "559-323-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-224-2286",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.