Organization Active NPI

Kristin Hibbard PHD a Professional Corporation

  • Clinical Psychologist
  • Fresno, CA
National Provider Identifier
1699794701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19414 Issued in CA
Legal business name
KRISTIN HIBBARD PHD A PROFESSIONAL CORPORATION
Practice address
7341 N 1St St Ste 110
Fresno, CA 93720-2948
Phone
(559) 292-6065
Fax
(559) 438-1051
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kristin Hibbard, PHDNPI 1902839608
Title
Owner
Phone
(559) 292-6065

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 PSY19414 CA Primary

Addresses

Primary practice location

7341 N 1St St Ste 110
Fresno, CA 93720-2948

Mailing address

8839 N Cedar Ave
Fresno, CA 93720-1832
Phone (559) 292-5606

National Provider Directory

National Provider Directory

Locations

7341 N 1st St
Ste 110
Fresno, CA 93720
Phone (559) 292-6065

Practitioners & affiliated clinicians

Practitioners 1

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699794701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8839 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201832",
            "telephone_number": "559-292-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 N 1ST ST STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202948",
            "telephone_number": "559-292-6065",
            "fax_number": "559-438-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN HIBBARD PHD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIBBARD",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-292-6065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19414",
            "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 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.