Individual provider Active NPI

Joshua Sheltzer, PHD

  • Clinical Psychologist
  • Visalia, CA
National Provider Identifier
1558655407
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33763 Issued in CA
Practice address
1212 W Main St
Visalia, CA 93291-5917
Phone
(559) 946-0585
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Psychologist 103TC0700X PSY33763 CA Primary

Addresses

Primary practice location

1212 W Main St
Visalia, CA 93291-5917

Mailing address

1212 W Main St
Visalia, CA 93291-5917
Phone (559) 946-0585

Other practice location 1

327 S K St
Tulare, CA 93274-5416
Phone (559) 688-2043

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
I20230126000384 CA Practitioner - Clinical Psychologist 6709257975 Practice locations: Oakland, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY33763CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Horizon Mental Health Past Accepting new patients
The Helix Group PastSince Dec 6, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1558655407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915917",
            "telephone_number": "559-946-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915917",
            "telephone_number": "559-946-0585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 S K St",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932745416",
            "country_code": "US",
            "telephone_number": "559-688-2043",
            "fax_number": "559-688-1304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTZER",
        "first_name": "JOSHUA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.