Intrinsically Healthy Psychological Services Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INTRINSICALLY HEALTHY PSYCHOLOGICAL SERVICES INC

Practice address

2575 E Perrin Ave Ste 110
Fresno, CA 93720-5204

Phone

(209) 988-0801

NPI assigned

Oct 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Soares, PHDNPI 1215161914

Title

Owner, Psychologist

Phone

(209) 988-0801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Soares

  • Psychologist
  • Fresno, CA
  • NPI 1215161914
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1356826515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 E RUSH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937304700",
            "telephone_number": "209-988-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 E PERRIN AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205204",
            "telephone_number": "209-988-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRINSICALLY HEALTHY PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "209-988-0801",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Cardiology Medical Clinic, Inc
• Internal Medicine Specialists Medical Group, Inc.
• Darren K Inthavong
• Mikie Inthavong
• Phouva Inthirath, AA
• Shabree Latrelle Inuwa
• Perla Inzunza
• Lev Ioffe
• Humzah Iqbal, MD
• Sohail Rehman Iqbal

• Adult Mental Health Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.