Individual provider Active NPI

Brianna Satterthwaite, PSYD

  • Psychologist
  • Coalinga, CA
National Provider Identifier
1811261373
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
CA PSY 20865 Issued in CA
Practice address
24863 W Jayne Ave
Coalinga, CA 93210-9502
Phone
(559) 246-9766
Fax
(877) 818-2250
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X CA PSY 20865 CA Primary

Addresses

Primary practice location

24863 W Jayne Ave
Coalinga, CA 93210-9502

Mailing address

PO Box 27542
Fresno, CA 93729-7542
Phone (559) 246-9766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CA PSY 20865CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1811261373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27542",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297542",
            "telephone_number": "559-246-9766",
            "fax_number": "877-818-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24863 W JAYNE AVE",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932109502",
            "telephone_number": "559-246-9766",
            "fax_number": "877-818-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERTHWAITE",
        "first_name": "BRIANNA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "CA PSY 20865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coalinga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.