Active NPI
Karla Yareli Ceballos-Lopez, ED. D.
- School Psychologist
- Chowchilla, CA
National Provider Identifier
1104174010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 805 Humboldt Ave
Chowchilla, CA 93610-3199 - Phone
- (559) 665-1331
- NPI assigned
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
805 Humboldt Ave
Chowchilla, CA 93610-3199
Mailing address
805 Humboldt Ave
Chowchilla, CA 93610-3199
Phone (559) 665-1331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chowchilla Union High School District | Current | Accepting new patients |
Locations
805 Humboldt Ave
Chowchilla, CA 93610
Phone (559) 665-1331
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Chowchilla, CA
- NPI 1538865597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1104174010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 HUMBOLDT AVE",
"city": "CHOWCHILLA",
"state": "CA",
"postal_code": "936103199",
"telephone_number": "559-665-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 HUMBOLDT AVE",
"city": "CHOWCHILLA",
"state": "CA",
"postal_code": "936103199",
"telephone_number": "559-665-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBALLOS-LOPEZ",
"first_name": "KARLA",
"middle_name": "YARELI",
"name_prefix": "Dr.",
"credential": "ED. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chowchilla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.