Stewart Integrative Psychological Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 21346 Issued in CA

Legal business name

STEWART INTEGRATIVE PSYCHOLOGICAL SERVICES, INC

Practice address

6235 N Fresno St
Ste 101
Fresno, CA 93710-5269

Phone

(559) 213-0025

Fax

(877) 484-1076

NPI assigned

Feb 23, 2017

Organization subpart

No

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

Authorized official

Name

Jaylene Booth

Title

Biller

Phone

(559) 797-6055

Specialties & licenses 1

Addresses

Other names 1

• TABATHA STEWART, PSY.D Other name

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1750820767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 N FRESNO ST",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105269",
            "telephone_number": "559-213-0025",
            "fax_number": "877-484-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 N FRESNO ST",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105269",
            "telephone_number": "559-213-0025",
            "fax_number": "877-484-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART INTEGRATIVE PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "JAYLENE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "559-797-6055"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 21346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TABATHA STEWART, PSY.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Stevens
• Elliott Stevenson
• Portia Rochelle Stevenson
• Rita Elizabeth Stevenson
• Reanna Steverson
• Kristina Shianne Stewart Means, CCAPP
• Stewart Psychological Services, Inc.
• Stewart W. Mason MD, Inc.
• Aidan Kenneth Stewart
• Alicia Patricia Stewart, RPA-C

• 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 Feb 23, 2017; 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.