Organization Active NPI

Dritsas Psychological Services a Professional Corporation

  • Psychologist
  • Fresno, CA
National Provider Identifier
1881847713
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
17428 Issued in CA
Legal business name
DRITSAS PSYCHOLOGICAL SERVICES A PROFESSIONAL CORPORATION
Practice address
8441 N Millbrook Ave Ste 102
Fresno, CA 93720-2199
Phone
(559) 217-2591
Fax
(559) 433-9693
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Dr. Denise Marie Dritsas, PSY.D.NPI 1497715601
Title
President
Phone
(559) 217-2592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 17428 CA Primary

Addresses

Primary practice location

8441 N Millbrook Ave Ste 102
Fresno, CA 93720-2199

Mailing address

8441 N Millbrook Ave Ste 102
Fresno, CA 93720-2199
Phone (559) 217-2591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150527000186 CA Part B Supplier - Clinic/Group Practice 0042530412 Receives reassigned benefits from 1 practitioner
Practice locations: Pismo Beach, CA

National Provider Directory

National Provider Directory

Locations

1303 E Grand Ave
Ste 233
Arroyo Grande, CA 93420
Phone (805) 264-1770

8441 N Millbrook Ave
Ste 102
Fresno, CA 93720
Phone (559) 217-2592

8441 N Millbrook Ave
Ste 1
Fresno, CA 93720
Phone (559) 217-2592

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": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1881847713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 N MILLBROOK AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202199",
            "telephone_number": "559-217-2591",
            "fax_number": "559-433-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 N MILLBROOK AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202199",
            "telephone_number": "559-217-2591",
            "fax_number": "559-433-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRITSAS PSYCHOLOGICAL SERVICES A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "DRITSAS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-217-2592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "17428",
            "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 May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.