Organization Active NPI

K&L Clinical Forensic Practice

  • Forensic Psychologist
  • Fresno, CA
National Provider Identifier
1346738929
Registry record updated Apr 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
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

Updated by the provider on Apr 29, 2018

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X Primary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.