Active NPI
Summit Mental Wellness: a Psychological Corporation
- Psychologist
- Fresno, CA
National Provider Identifier
1528856036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- SUMMIT MENTAL WELLNESS: A PSYCHOLOGICAL CORPORATION
- Practice address
- 516 W Shaw Ave Ste 200
Fresno, CA 93704-2515 - Phone
- (559) 221-2613
- Fax
- (855) 913-2529
- NPI assigned
- Apr 26, 2025
- Last updated
- Aug 6, 2025
- 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. Jacinda Hernandez, PH.D.
- Title
- Owner/Psychologist
- Phone
- (559) 242-6693
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
516 W Shaw Ave Ste 200
Fresno, CA 93704-2515
Mailing address
516 W Shaw Ave Ste 200
Fresno, CA 93704-2515
Phone (559) 221-2613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Fresno, CA
- NPI 1083143648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1528856036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 W SHAW AVE STE 200",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042515",
"telephone_number": "559-221-2613",
"fax_number": "855-913-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 W SHAW AVE STE 200",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042515",
"telephone_number": "559-221-2613",
"fax_number": "855-913-2529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MENTAL WELLNESS: A PSYCHOLOGICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-26",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "JACINDA",
"authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
"authorized_official_telephone_number": "559-242-6693",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 6, 2025; 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.