Individual provider Active NPI

Tikesha Leslie-Jones, P.H.D.

  • Psychologist
  • Fresno, CA
National Provider Identifier
1457786170
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
25980 Issued in CA
Practice address
2811 W California Ave
Fresno, CA 93706-2307
Phone
(559) 493-4246
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X CA
Psychologist 103T00000X 25980 CA Primary

Addresses

Primary practice location

2811 W California Ave
Fresno, CA 93706-2307

Mailing address

584 Pinnacle Dr W
Madera, CA 93636-8924
Phone (559) 456-1870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25980CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Veterans Affairs of the State of California Current Accepting new patients
Department of Veterans Affairs of the State of California CurrentSince Feb 19, 2017 Accepting new patients
Department of Veterans Affairs of the State of California CurrentSince Feb 19, 2017 Accepting new patients

Locations

1227 O St
Rm 402
Sacramento, CA 95814

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1457786170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 PINNACLE DR W",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368924",
            "telephone_number": "559-456-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W CALIFORNIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062307",
            "telephone_number": "559-493-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE-JONES",
        "first_name": "TIKESHA",
        "name_prefix": "Dr.",
        "credential": "P.H.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "25980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.