Active NPI
David Lindley Hellwig, PHD
- Clinical Psychologist
- Fresno, CA
National Provider Identifier
1851431977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY14566
- Practice address
- 1357 W Shaw Ave
Suite 104
Fresno, CA 93711-3618 - Phone
- (559) 227-4800
- Fax
- (559) 222-3939
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY14566 | CA | Primary |
Addresses
Primary practice location
1357 W Shaw Ave
Suite 104
Fresno, CA 93711-3618
Mailing address
1357 W Shaw Ave
Suite 104
Fresno, CA 93711-3618
Phone (559) 227-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI920A | Other | CA | MEDICARE PTAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051025000742 | CA | Practitioner - Clinical Psychologist | 6901823301 | Practice locations: Fresno, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1357 W Shaw Ave
Fresno, CA 93711-3619
Phone (559) 227-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14566 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1851431977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 W SHAW AVE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113618",
"telephone_number": "559-227-4800",
"fax_number": "559-222-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 W SHAW AVE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113618",
"telephone_number": "559-227-4800",
"fax_number": "559-222-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLWIG",
"first_name": "DAVID",
"middle_name": "LINDLEY",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CI920A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.