Edwyn W. Ortiz-Nance, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60221926 Issued in WA

Practice address

1041 N. Demaree St.
Visalia, CA 93291-7896

Phone

(559) 635-4252

Fax

(559) 635-4281

NPI assigned

Apr 11, 2008

Last updated

Jan 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 11

Addresses

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.

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Edwyn W Ortiz-Nance

  • Clinical Psychologist
  • Fresno, CA
  • NPI 1942592621

  Clinical Neuropsychologist

  NPD (past) Authorized official
• Edwyn W. Ortiz-Nance Psychological Services

  • Preferred Provider Organization
  • Fresno, CA
  • NPI 1396156030
  NPD (past) Authorized official
• Synchrony of Visalia

  • Mental Illness Community Based Residential Treatment Facility
  • Visalia, CA
  • NPI 1255602066
  Authorized official Same address or phone
• Synchrony of Visalia, Inc

  • Psychologist
  • Visalia, CA
  • NPI 1457470825
  Authorized official Same address or phone
• Synchrony of Visalia, Inc.

  • Clinical Psychologist
  • Visalia, CA
  • NPI 1336410141
  Authorized official Same address or phone
• Synchrony of Visalia, Inc.

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1992071344
  Authorized official Same address or phone
• Matrix Behavioral Health, Inc

  • Clinical Psychologist
  • Visalia, CA
  • NPI 1316676737

  Clinical Neuropsychologist

  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1467625368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N. DEMAREE ST.",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932917896",
            "telephone_number": "559-635-4252",
            "fax_number": "559-635-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N. DEMAREE ST.",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932917896",
            "telephone_number": "559-635-4252",
            "fax_number": "559-635-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-NANCE",
        "first_name": "EDWYN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "PY60221926",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY18170",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY60221926",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60221926",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18170",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY18170",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PS60221926",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY18170",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "WA",
            "license": "PS60221926",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY18170",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "WA",
            "license": "PS60221926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Orozco Jr.
• Christopher P Orr, DPM
• Jasmin Ortega-Marquez
• Mayra Ortega
• Orthopaedic Assoc Medical Clinic, Inc.
• Ian Javier Ortiz-Nance, PSYD.
• Maria-Magdalena Ortiz-Nance, M.A.
• Desiree Diann Ortiz-Truong, CRNA
• April Lopez Ortiz, PSYCH NP-BC
• Jerrett Ortiz

• Clinical Psychologist in Visalia, CA
• Providers in Visalia, 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 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.