Individual provider Active NPI

Laurie Noel Rabens, PH.D.

  • Clinical Psychologist
  • Fresno, CA
National Provider Identifier
1851445019
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10706 Issued in CA
Practice address
3443 W Shaw Ave
Fresno, CA 93711-3204
Phone
(559) 271-1186
Fax
(559) 271-8041
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY10706 CA Primary

Addresses

Primary practice location

3443 W Shaw Ave
Fresno, CA 93711-3204

Mailing address

3443 W Shaw Ave
Fresno, CA 93711-3204
Phone (559) 271-1186

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY10706CAMDClinical Psychologist
10706CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan Center for Children a Psychological Corporation Clinical Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851445019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113204",
            "telephone_number": "559-271-1186",
            "fax_number": "559-271-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113204",
            "telephone_number": "559-271-1186",
            "fax_number": "559-271-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABENS",
        "first_name": "LAURIE",
        "middle_name": "NOEL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10706",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.