Individual provider Active NPI

Maria Blancarte Stevens, PSY.D.

  • Clinical Psychologist
  • Clovis, CA
National Provider Identifier
1770870743
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
29388 Issued in CA
Practice address
255 W Bullard Ave Ste 101
Clovis, CA 93612-0861
Phone
(559) 299-2435
NPI assigned
Jun 29, 2011
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 29388 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

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) 299-2435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024003843 CA Practitioner - Clinical Psychologist 1951834258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Valley Indian Health IncGroup PAC ID 9931092533, 33 clinicians

Practice addresses (Care Compare)

255 W Bullard Ave
Suite 109
Clovis, CA 93612-0861
Phone (559) 325-5715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29388CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Indian Health, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Central Valley Indian Health, Inc CurrentSince Mar 30, 2025 Accepting new patients
Central Valley Indian Health Inc Current Accepting new patients
Valley Health Team Inc PastSince Aug 6, 2019 Accepting new patients
Valley Health Team, Inc Past Accepting new patients

Locations

255 W Bullard Ave
Ste 101
Clovis, CA 93612
Phone (559) 299-2435

255 W Bullard Ave
Ste 109
Clovis, CA 93612
Phone (559) 297-7563

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 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1770870743",
    "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": "559-299-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-299-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARIA",
        "middle_name": "BLANCARTE",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29388",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.