Frieda Dehnavifar
Individual provider Active NPI Clinical Psychologist · Coalinga, CA
NPI 1194952259 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1194952259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY33001 (CA)
- Practice address
- 24863 W Jayne Ave
Coalinga, CA 93210-9502 - Phone
- (773) 469-7180
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33001 | CA | MD | Forensic Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY33001 | CA | |
| Clinical Psychologist | 103TC0700X | PSY33001 | CA | Yes |
Addresses
Primary practice location
24863 W Jayne Ave
Coalinga, CA 93210-9502
Mailing address
1660 Hartley Drive
Hanford, CA 93230
Phone (773) 469-7180
Other providers in Coalinga, CA
- D & D Wilcox
- Johnny K Dang
- Trucmy Dang
- Jeffrey Jay Davis
- Richard C Davis Jr.
- Department of State Hospital Coalinga
- Department of State Hospital Coalinga
- Department of State Hospitals
- Tracy Dern
- Deleon Devaughn
All providers in Coalinga, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.