Sandra Mansour, M.A.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSB 35440 Issued in CA

Practice address

3443 W Shaw Ave
Sullivan Center for Children
Fresno, CA 93711-3249

Phone

(559) 271-1176

NPI assigned

Oct 1, 2010

Last updated

Oct 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1093024473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 W SHAW AVE",
            "address_2": "SULLIVAN CENTER FOR CHILDREN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113249",
            "telephone_number": "559-271-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 W SHAW AVE",
            "address_2": "SULLIVAN CENTER FOR CHILDREN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113249",
            "telephone_number": "559-271-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "SANDRA",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSB 35440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Manriques, BC, FNP
• Arianna Izabel Manriquez
• Joshua V Manriquez
• Maribel Manriquez, PA-C
• Ali Ali Mohamed Mansour
• Manuch Inc. (Aspen House)
• Manuch Inc. (Inspiration Peak)
• Manuch Inc. (Riverpine)
• Elena Annie Manucharyan, LCSW #115661
• Marta Manucharyan, MD

• Clinical Child & Adolescent Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.