NPIMap

Organization Active NPI

Chavez Gonzalez Psychology Associates PC

  • Clinical Psychologist
  • Fresno, CA
National Provider Identifier
1649656661
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22998 Issued in CA
Legal business name
CHAVEZ GONZALEZ PSYCHOLOGY ASSOCIATES PC
Practice address
790 W Shaw Ave
Suite 280
Fresno, CA 93704-2398
Phone
(559) 575-0475
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Leticia Chavez, PSYDNPI 1821311911
Title
President
Phone
(559) 575-0475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY22998 CA Primary

Addresses

Primary practice location

790 W Shaw Ave
Suite 280
Fresno, CA 93704-2398

Mailing address

790 W Shaw Ave
Suite 280
Fresno, CA 93704-2398

National Provider Directory

National Provider Directory

Locations

790 W Shaw Ave
Ste 280
Fresno, CA 93704
Phone (559) 575-0475

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1649656661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 W SHAW AVE",
            "address_2": "SUITE 280",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W SHAW AVE",
            "address_2": "SUITE 280",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042398",
            "telephone_number": "559-575-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVEZ GONZALEZ PSYCHOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-575-0475",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22998",
            "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 Jul 31, 2015; 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.