Active NPI
Holly Kathleen Northcross, PPS, BCBA
- School Psychologist
- Fresno, CA
National Provider Identifier
1356158026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 6041 S Elm Ave
Fresno, CA 93706-6018 - Phone
- (559) 999-1679
- NPI assigned
- Dec 16, 2024
- Last updated
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
6041 S Elm Ave
Fresno, CA 93706-6018
Mailing address
1111 Van Ness Ave
Fresno, CA 93721-2002
Phone (559) 999-1679
Other practice location 1
2888 S Ivy Ave
Fresno, CA 93706-5513
Phone (559) 495-5607
Other practice location 2
2801 W Adams Ave
Fresno, CA 93706-9601
Phone (559) 999-1679
Other practice location 3
2910 S Ivy Ave
Fresno, CA 93706-5515
Phone (559) 999-1679
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1356158026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937212002",
"telephone_number": "559-999-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6041 S ELM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937066018",
"telephone_number": "559-999-1679"
}
],
"practiceLocations": [
{
"address_1": "2888 S Ivy Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937065513",
"country_code": "US",
"telephone_number": "559-495-5607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2801 W Adams Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937069601",
"country_code": "US",
"telephone_number": "559-999-1679",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2910 S Ivy Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937065515",
"country_code": "US",
"telephone_number": "559-999-1679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTHCROSS",
"first_name": "HOLLY",
"middle_name": "KATHLEEN",
"credential": "PPS, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
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- Tom Northey, P.T.
- Northridge Group LLC
- Ronald Joseph Northrop, DDS MD
- Jessica Marie Northrup
- Northvale Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.