Active NPI
Kelley Nicole Peters
- School Psychologist
- Fresno, CA
National Provider Identifier
1346194438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 240183874
- Practice address
- 890 S 10TH St BLDG C
Fresno, CA 93702-3506 - Phone
- (559) 457-3220
- NPI assigned
- Feb 24, 2026
- Last updated
- Feb 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 240183874 | CA | Primary |
Addresses
Primary practice location
890 S 10TH St BLDG C
Fresno, CA 93702-3506
Mailing address
190 N Coventry Ave Apt 243
Clovis, CA 93611-6843
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240183874 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1346194438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 N COVENTRY AVE APT 243",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 S 10TH ST BLDG C",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023506",
"telephone_number": "559-457-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "KELLEY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "240183874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Peter T. Truong, M.D., Surgical Center, Inc. (Riverview Ambulatory Surgical Center)
- Peter T. Truong, M.D., Surgical Center, Inc. (Riverview Ambulatory Surgery Center)
- Alfred George Peters, MD
- Deja D Peters
- Janet Peters
- Sandra Peters, A3882196
- Stephanie Peters, PHARM.D.
- Tiffany Peters
- Janelle D Petersen
- Katherine Marie Petersen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.