NPIMap

Organization Active NPI

Olford-Eddy Psychological Services

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1598216301
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PSY14604 Issued in CA
Legal business name
OLFORD-EDDY PSYCHOLOGICAL SERVICES
Practice address
516 W Shaw Ave
Suite 200
Fresno, CA 93704-2515
Phone
(559) 221-4988
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Jennifer Cardillo, LMFTNPI 1154335172
Title
LMFT
Phone
(559) 824-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PSY14604 CA Primary

Addresses

Primary practice location

516 W Shaw Ave
Suite 200
Fresno, CA 93704-2515

Mailing address

516 W Shaw Ave
Suite 200
Fresno, CA 93704-2515

Other names 1

  • Best Brain Possible Other name

National Provider Directory

National Provider Directory
Tax ID family
Olford-Eddy Psychological Services Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1598216301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W SHAW AVE",
            "address_2": "SUITE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W SHAW AVE",
            "address_2": "SUITE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042515",
            "telephone_number": "559-221-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLFORD-EDDY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "CARDILLO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "559-824-2277",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY14604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Brain Possible",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 17, 2016; 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.