Staltaro Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY18882 Issued in CA

Legal business name

STALTARO PSYCHOLOGICAL SERVICES

Practice address

4547 W Oslin Ave
Fresno, CA 93722-7349

Phone

(559) 433-5145

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Perry Staltaro, PSYD

Title

President

Phone

(559) 433-5145

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639397573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4547 W OSLIN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937227349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4547 W OSLIN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937227349",
            "telephone_number": "559-433-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALTARO PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STALTARO",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-433-5145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W. Stagis, D.D.S.
• James Staicer
• Michael Staicer, LCSW
• Janice Stain, MD
• Kimberlie Sue Stalcup
• Paulette Standifer
• Brittany Nicole Standridge, RDA
• Gabriela Nicole Stanford
• Tamara Sue Stanic, RN, CDCES
• Matthew Alan Stanich, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.