Active NPI
Flourish Family Wellness Psychological Services, Inc.
- Clinical Psychologist
- Bakersfield, CA
National Provider Identifier
1124665559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- FLOURISH FAMILY WELLNESS PSYCHOLOGICAL SERVICES, INC.
- Practice address
- 1909 16TH Street
Suite 7
Bakersfield, CA 93301 - Phone
- (661) 368-8301
- NPI assigned
- Dec 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hailey Nicole Hicks, PSY.D.
- Title
- President and Director
- Phone
- (661) 368-8301
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
1909 16TH Street
Suite 7
Bakersfield, CA 93301
Mailing address
3400 Cottage Way
Suite G2 #1445
Sacramento, CA 95825
National Provider Directory
National Provider DirectoryLocations
1909 16th St
Ste 7
Bakersfield, CA 93301
Phone (661) 368-8301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575417600000",
"number": "1124665559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 COTTAGE WAY",
"address_2": "SUITE G2 #1445",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 16TH STREET",
"address_2": "SUITE 7",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93301",
"telephone_number": "661-368-8301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISH FAMILY WELLNESS PSYCHOLOGICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "HAILEY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PRESIDENT AND DIRECTOR",
"authorized_official_telephone_number": "661-368-8301",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.