Lizette Barrientos, PH.D

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PSY28963 Issued in CA

Practice address

24511 W Jayne Ave
Coalinga, CA 93210-9503

Phone

(559) 934-8543

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1174020796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S ASPEN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776405",
            "telephone_number": "818-268-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24511 W JAYNE AVE",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932109503",
            "telephone_number": "559-934-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIENTOS",
        "first_name": "LIZETTE",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY28963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Azizian, PHD
• Joseph Bacchus, PSY.D.
• Steven Baerg, LCSW
• Melanie Sue Baker, PHARMD
• Richelle Marie Barb, PSYD
• Clarence Batacan
• Amber Beteta
• Ikumi Hirashima Bisbee, RN
• Mary Alice Bolin
• Alexis Gelene Bowles

• Forensic Psychologist in Coalinga, CA
• Providers in Coalinga, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.