Felicia M Agibi, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29691 Issued in CA

Practice address

1552 Coffee Rd Ste 200
Modesto, CA 95355-3122

Phone

(209) 248-7168

Fax

(209) 846-9641

NPI assigned

Feb 6, 2018

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Family Friendly Psychological Group, P.C.

  • Clinical Psychologist
  • Modesto, CA
  • NPI 1205502044
  Medicare reassignment NPD Authorized official
• Central California Bariatric Surgery a Medical Corporation

  • Surgery Physician
  • Modesto, CA
  • NPI 1124141163
  Medicare reassignment NPD
• Central California Bariatric Surgery, Partnership

  • Surgery Physician
  • Modesto, CA
  • NPI 1104632249
  NPD

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1326547266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 COFFEE RD STE 200",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553122",
            "telephone_number": "209-248-7168",
            "fax_number": "209-846-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 COFFEE RD STE 200",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553122",
            "telephone_number": "209-248-7168",
            "fax_number": "209-846-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 E Harding Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952046103",
            "country_code": "US",
            "telephone_number": "209-244-9191",
            "fax_number": "209-244-9190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Coffee Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953554926",
            "country_code": "US",
            "telephone_number": "209-918-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGIBI",
        "first_name": "FELICIA",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2021-09-23",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Ventura Agbunag, MD
• Heather Agdeppa
• Aubreona Agee
• Elin Aghakhani
• Cynablet Aghasi Lolham
• Agile Occupational Medicine, PC
• Shannon Agnew
• Jose Martin Aguayo Ramos, MD
• Adrien Aguilar Espinoza
• Jessica Aguilar Fuentes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.