Aszad Ken Prettipaul, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23479 Issued in CA

Practice address

3000 W Cecil Ave
Delano, CA 93215-1821

Phone

(661) 721-6300

NPI assigned

Apr 3, 2007

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Aszad Prettipaul Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 20, 2019 through May 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kings Counseling Center

  • Marriage & Family Therapist
  • Hanford, CA
  • NPI 1205895364
  NPD (past)
• Kings Counseling Center

  • Community/Behavioral Health Agency
  • Hanford, CA
  • NPI 1760783989
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1780706713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7805",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932907805",
            "telephone_number": "559-308-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W CECIL AVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932151821",
            "telephone_number": "661-721-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETTIPAUL",
        "first_name": "ASZAD",
        "middle_name": "KEN",
        "name_prefix": "Mr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASZAD",
            "last_name": "PRETTIPAUL",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Positive Directions, Inc.
• Positive Lifestyles LLC
• Positive Lifestyles, LLC
• John Postgate, EIN-
• Premier Pathology Laboratories Inc
• Priti Patel Inc (Truxtun Pharmacy Delano)
• Pro Scan Medical Imaging LLC
• Denisha Latoya Profit
• Malayah Jewell Qualls
• Mirandy Anais Quinonez

• Clinical Psychologist in Delano, CA
• Providers in Delano, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.