Active NPI
Kevin L Schellenberg, PH. D,
- Psychologist
- Fresno, CA
National Provider Identifier
1588780340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 13940
- Practice address
- 6225 N Fresno St Ste 101
Fresno, CA 93710-5268 - Phone
- (559) 435-1133
- Fax
- (559) 435-1150
- NPI assigned
- Mar 22, 2007
- Last updated
- Sep 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 13940 | CA | Primary |
Addresses
Primary practice location
6225 N Fresno St Ste 101
Fresno, CA 93710-5268
Mailing address
6225 N Fresno St Ste 101
Fresno, CA 93710-5268
Phone (559) 435-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2018 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13940 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1588780340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6225 N FRESNO ST STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105268",
"telephone_number": "559-435-1133",
"fax_number": "559-435-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6225 N FRESNO ST STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105268",
"telephone_number": "559-435-1133",
"fax_number": "559-435-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHELLENBERG",
"first_name": "KEVIN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PH. D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "13940",
"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 Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.