Individual provider Active NPI

Douglas Edward Hoehing, PSYCHOLOGIST

  • Clinical Psychologist
  • Clovis, CA
National Provider Identifier
1568610913
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21474 Issued in CA
Practice address
1797 San Jose Ave
Clovis, CA 93611-3078
Phone
(559) 298-0699
NPI assigned
Aug 28, 2008
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY21474 CA
Clinical Psychologist 103TC0700X 0810003812 VA
Clinical Psychologist 103TC0700X 21474 CA Primary

Addresses

Primary practice location

1797 San Jose Ave
Clovis, CA 93611-3078

Mailing address

4957 N Harrison Ave
Fresno, CA 93704-2914
Phone (559) 978-6484

Other practice location 1

4957 N Harrison Ave
Fresno, CA 93704-2914
Phone (559) 978-6484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfish@2ndhomeinc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY21474CAMDPsychologist
0810003812VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1568610913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 N HARRISON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042914",
            "telephone_number": "559-978-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 SAN JOSE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113078",
            "telephone_number": "559-298-0699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4957 N Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937042914",
            "country_code": "US",
            "telephone_number": "559-978-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOEHING",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21474",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003812",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfish@2ndhomeinc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dhoehing@2ndhomeinc.org",
            "address_1": "1797 San Jose Ave",
            "city": "Clovis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936113078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.