Organization Active NPI

Dr. Scoggins, Inc.

  • Psychologist
  • Clovis, CA
National Provider Identifier
1811543747
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DR. SCOGGINS, INC.
Practice address
2023 N Preuss Ave
Clovis, CA 93619-7464
Phone
(559) 246-8679
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Dr. Michelle D Scoggins, PSY.D.
Title
Owner
Phone
(559) 246-8679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2023 N Preuss Ave
Clovis, CA 93619-7464

Mailing address

2023 N Preuss Ave
Clovis, CA 93619-7464
Phone (559) 246-8679

Other names 1

  • Fresno Health and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

2109 W Bullard Ave
Ste 121
Fresno, CA 93711
Phone (559) 246-8679

Practitioners & affiliated clinicians

Practitioners 2

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": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1811543747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 N PREUSS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197464",
            "telephone_number": "559-246-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 N PREUSS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197464",
            "telephone_number": "559-246-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SCOGGINS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "SCOGGINS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-246-8679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresno Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresno Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.