Individual provider Active NPI

Ahmad Tousinezhad, PHD

  • Clinical Psychologist
  • Fresno, CA
National Provider Identifier
1487631446
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15544 Issued in CA
Practice address
8140 N 8TH St
Fresno, CA 93720-2262
Phone
(559) 440-0100
NPI assigned
Dec 29, 2005
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY15544 CA Primary

Addresses

Primary practice location

8140 N 8TH St
Fresno, CA 93720-2262

Mailing address

685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779
Phone (559) 499-1233

Other identifiers 1

IdentifierTypeStateIssuer
PSY15544MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000338 CA Practitioner - Clinical Psychologist 9032395686 Reassigns benefits to 1 organization
Practice locations: Bakersfield, CA; Delano, CA; Fresno, CA; Kingsburg, CA; Porterville, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 Stroud Ave
Kingsburg, CA 93631-1016
Phone (559) 897-5881

Merit-based Incentive Payment System (MIPS)

Final score
28.44 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
94.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY15544CAMDClinical Psychologist
15544CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Psychological Well Being Services Inc CurrentSince Apr 30, 2025 Accepting new patients

Locations

323 Campus Dr
Arvin, CA 93203
Phone (661) 363-8127

6212 Tudor Way
Bakersfield, CA 93306
Phone (661) 871-3133

1509 Tokay St
Delano, CA 93215
Phone (661) 720-2100

1730 S College Ave
Dinuba, CA 93618
Phone (559) 590-3300

2113 E Manning Ave
Fresno, CA 93725
Phone (559) 834-2586

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 791-8410

1101 Stroud Ave
Kingsburg, CA 93631
Phone (559) 341-5755

301 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-7375

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1487631446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 W ALLUVIAL AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115779",
            "telephone_number": "559-499-1233",
            "fax_number": "559-499-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 N 8TH ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202262",
            "telephone_number": "559-440-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSINEZHAD",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY15544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.