Active NPI
Lynette Eve Bassman, PH.D.
- Psychologist
- Clovis, CA
National Provider Identifier
1649201500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY16362
- Practice address
- 255 W Bullard Ave
Ste 101
Clovis, CA 93612-0861 - Phone
- (559) 549-4989
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- 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 | PSY16362 | CA | Primary |
Addresses
Primary practice location
255 W Bullard Ave
Ste 101
Clovis, CA 93612-0861
Mailing address
2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-4264
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16362 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Indian Health, Inc. | Current | Accepting new patients | |
| Central Valley Indian Health Inc | Current | Accepting new patients | |
| Alliant International University | Past | Accepting new patients | |
| Gary S. Cannyon Psychological Service Center | Past | Accepting new patients |
Locations
2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608
29369 Auberry Rd
Ste 102
Prather, CA 93651
Phone (559) 855-5390
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Prather, CA
- NPI 1902025059
-
- Clinic/Center
- Clovis, CA
- NPI 1235670787
-
- Community/Behavioral Health Agency
- Livermore, CA
- NPI 1427374776
-
- Clinical Psychologist
- Fresno, CA
- NPI 1295936771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1649201500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116813",
"telephone_number": "559-299-4264",
"fax_number": "559-299-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W BULLARD AVE",
"address_2": "STE 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936120861",
"telephone_number": "559-549-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSMAN",
"first_name": "LYNETTE",
"middle_name": "EVE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY16362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 23, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.