Transcendence Psychological Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TRANSCENDENCE PSYCHOLOGICAL SERVICES, PC

Practice address

2440 W Shaw Ave Ste 203
Fresno, CA 93711-3300

Phone

(559) 930-5565

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Mahtab Kaeni, PSYDNPI 1578757399

Title

Owner/ President

Phone

(559) 930-5565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Mahtab Kaeni, PSYD

  • Clinical Psychologist
  • Fresno, CA
  • NPI 1578757399
  Medicare reassignment NPD Authorized official
• Roxana Velinda Alessio, ASW

  • Clinical Social Worker
  • Fresno, CA
  • NPI 1407193220
  Medicare reassignment NPD
• Derek Weibel, LCSW

  • Clinical Social Worker
  • Fresno, CA
  • NPI 1639441249
  NPD (past)

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1366915423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 W HARVARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228036",
            "telephone_number": "310-367-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W SHAW AVE STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113300",
            "telephone_number": "559-930-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDENCE PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "KAENI",
        "authorized_official_first_name": "MAHTAB",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "559-930-5565",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Tran, PHARM. D
• Tony Tran
• Tuan Tran, M.D.
• Vy T Tran, PHARMD
• Minh Tue Trannguyen
• Transitional Age Youth Expansion
• Transitions Children'S Services
• Transitions Children'S Services
• Transportus
• Felicia Trasca, PA-C

• Clinical Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.