Active NPI
K&L Clinical Forensic Practice
- Forensic Psychologist
- Fresno, CA
National Provider Identifier
1346738929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- Legal business name
- K&L CLINICAL FORENSIC PRACTICE
- Practice address
- 3447 W Shaw Ave Ste 102
Fresno, CA 93711-3251 - Phone
- (913) 548-8862
- NPI assigned
- Apr 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Leite, PHD
- Title
- Partner
- Phone
- (913) 548-8862
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Forensic Psychologist | 103TF0200X | Primary | ||
| Group Psychotherapy Psychologist | 103TP2701X |
Addresses
Primary practice location
3447 W Shaw Ave Ste 102
Fresno, CA 93711-3251
Mailing address
6157 N Figarden Dr Apt 104
Fresno, CA 93722-7960
National Provider Directory
National Provider DirectoryLocations
3447 W Shaw Ave
Ste 102
Fresno, CA 93711
Phone (559) 549-3974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524960000000",
"number": "1346738929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6157 N FIGARDEN DR APT 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937227960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3447 W SHAW AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113251",
"telephone_number": "913-548-8862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K&L CLINICAL FORENSIC PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-29",
"last_updated": "2018-04-29",
"status": "A",
"authorized_official_last_name": "LEITE",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "913-548-8862",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
}
],
"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 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.