Carrie Lynn Ortiz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 24251 Issued in CA

Practice address

23370 Road 22
Chowchilla, CA 93610-8504

Phone

(559) 665-5531

NPI assigned

Mar 27, 2007

Last updated

Apr 6, 2020By 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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CCWF

  • Case Management Agency
  • Chowchilla, CA
  • NPI 1588934806
  NPD (past)
• Corrections and Rehabilitation-Headquarters

  dba CCWF Pharmacy

  • Pharmacy
  • Chowchilla, CA
  • NPI 1366077166
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1174641120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23370 ROAD 22, P.O. BOX 1501",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "93610",
            "telephone_number": "559-665-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23370 ROAD 22",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936108504",
            "telephone_number": "559-665-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 24251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Oleksy, PH.D.
• Jodena Opheim, PSY.D.
• Irosimhe Orbih-Chukwuocha, PSYD
• Laura Orozco
• Ortegaluares Nursing Home LLC
• Su Myat Paing
• Edward Palmer, PHD
• Palms Care Center LLC (Palms Care Center)
• Ravi Prabhubhai Patel, D.D.S.
• Citlally Yamilex Paz

• Clinical Psychologist in Chowchilla, CA
• Providers in Chowchilla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.