Individual provider Active NPI

Linda Jean Hewett, PSY.D.

  • Clinical Neuropsychologist
  • Fresno, CA
National Provider Identifier
1871519587
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY19509 Issued in CA
Practice address
3313 N Hilliard St
Fresno, CA 93726-5854
Phone
(559) 227-4810
Fax
(559) 227-4167
NPI assigned
Jul 14, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY19509 CA Primary

Addresses

Primary practice location

3313 N Hilliard St
Fresno, CA 93726-5854

Mailing address

4834 N Harrison Ave
Fresno, CA 93704-2911
Phone (559) 227-9378

Other identifiers 4

IdentifierTypeStateIssuer
P00138035OtherCARAILROAD MEDICARE
Q06572MedicaidCA
PSY 19509OtherCACA STATE LICENSE
PSY195090OtherCAMEDICAID PROVIDER NUMBER

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

State licenses

LicenseStateTypeSpecialty
PSY19509CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quail Park Retirement Village LLC Past Accepting new patients
UCSF Fresno Medical Group Clinical Neuropsychologist Past Accepting new patients
Regents of University of California Past Accepting new patients
Regents of University of California Clinical Neuropsychologist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1871519587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 N HARRISON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042911",
            "telephone_number": "559-227-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 N HILLIARD ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265854",
            "telephone_number": "559-227-4810",
            "fax_number": "559-227-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWETT",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY19509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00138035",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q06572",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "PSY 19509",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "PSY195090",
            "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 Jun 26, 2008; 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.