Organization Active NPI

Dunn Psychological Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clovis, CA
National Provider Identifier
1497426340
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DUNN PSYCHOLOGICAL SERVICES, INC.
Practice address
200 W Bullard Ave Ste A4
Clovis, CA 93612-0857
Phone
(559) 574-3002
Fax
(559) 701-0332
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dr. Michelle Dunn, PHDNPI 1508224023
Title
Ceo
Phone
(559) 574-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 W Bullard Ave Ste A4
Clovis, CA 93612-0857

Mailing address

200 W Bullard Ave Ste A4
Clovis, CA 93612-0857
Phone (559) 574-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220308000266 CA Part B Supplier - Clinic/Group Practice 7810381829 Receives reassigned benefits from 1 practitioner
Practice locations: Clovis, CA

National Provider Directory

National Provider Directory

Locations

200 W Bullard Ave
Ste A4
Clovis, CA 93612
Phone (559) 322-9821

1865 Herndon Ave
Ste K
Clovis, CA 93611
Phone (559) 860-8029

777 Minnewawa Ave
Ste 4
Clovis, CA 93612
Phone (559) 574-3002

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1497426340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W BULLARD AVE STE A4",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120857",
            "telephone_number": "559-574-3002",
            "fax_number": "559-701-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W BULLARD AVE STE A4",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120857",
            "telephone_number": "559-574-3002",
            "fax_number": "559-701-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-574-3002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.