Active NPI
Collegium Scientifica
- Clinical Psychologist
- Fresno, CA
National Provider Identifier
1487798435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY14744
- Legal business name
- COLLEGIUM SCIENTIFICA
- Practice address
- 4938 E Yale Ave
Suite 101
Fresno, CA 93727-1576 - Phone
- (559) 456-0345
- Fax
- (559) 456-2814
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura A Geiger, PSY.D.
- Title
- Clinical Director
- Phone
- (559) 456-0345
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | PSY14744 | CA | Primary |
| Forensic Psychologist | 103TF0200X | PSY14744 | CA |
Addresses
Primary practice location
4938 E Yale Ave
Suite 101
Fresno, CA 93727-1576
Mailing address
4938 E Yale Ave
Suite 101
Fresno, CA 93727-1576
Phone (559) 456-0345
National Provider Directory
National Provider DirectoryLocations
4938 E Yale Ave
Ste 101
Fresno, CA 93727
Phone (559) 456-0345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257724800000",
"number": "1487798435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4938 E YALE AVE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271576",
"telephone_number": "559-456-0345",
"fax_number": "559-456-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4938 E YALE AVE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271576",
"telephone_number": "559-456-0345",
"fax_number": "559-456-2814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLEGIUM SCIENTIFICA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2009-11-09",
"status": "A",
"authorized_official_last_name": "GEIGER",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "559-456-0345",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14744",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY14744",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.