Individual provider Active NPI

John William Lott, PSY.D., MFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1215069950
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43540 Issued in CA
Practice address
412 F St
Fresno, CA 93706-3409
Phone
(559) 498-6988
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 43540 CA Primary

Addresses

Primary practice location

412 F St
Fresno, CA 93706-3409

Mailing address

2931 W Silverhill LN
Fresno, CA 93711-1174
Phone (559) 431-6644

Other practice location 1

1589 W Shaw Ave
Suite 4
Fresno, CA 93711-3500
Phone (559) 228-9800

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

OrganizationSpecialtyStatusNew patients
Poverello House Marriage & Family Therapist CurrentSince Apr 25, 2021 Accepting new patients

Locations

412 F St
Fresno, CA 93706
Phone (559) 498-6988

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1215069950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 W SILVERHILL LN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111174",
            "telephone_number": "559-431-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 F ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063409",
            "telephone_number": "559-498-6988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1589 W Shaw Ave",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113500",
            "country_code": "US",
            "telephone_number": "559-228-9800",
            "fax_number": "559-228-9802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTT",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.,  MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.