Marcelle Pratt, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 22664 Issued in CA

Practice address

5588 N Palm Ave Ste I-1
Fresno, CA 93704-1913

Phone

(559) 997-6353

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1598810079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5588 N PALM AVE STE I-1",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041913",
            "telephone_number": "559-997-6353",
            "fax_number": "559-272-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5588 N PALM AVE STE I-1",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041913",
            "telephone_number": "559-997-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "MARCELLE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 22664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "770288900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Margaret Prasad-Aguilera, LCSW
• Sorawan Prasertthanabut, PHARMD,RPH.
• Dorothy Prater
• Carson Kuryla Prati
• Blanche Pratt
• Praveen Buddiga MD, Inc. (Family Allergy Asthma Clinic)
• Emily Tamara Preciado
• Thomas Antonio Preciado
• Precision Orthotic Laboratories, Inc.
• Anthony Dwayne Pree

• Clinical Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.