Active NPI
Michelle Renee Levalley, PH.D.
- Clinical Psychologist
- Fresno, CA
National Provider Identifier
1942305826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 17302
- Practice address
- 2085 E Dakota Ave
Fresno, CA 93726-4804 - Phone
- (559) 600-1500
- Fax
- (559) 455-4641
- NPI assigned
- Sep 14, 2006
- Last updated
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 17302 | CA | Primary |
Addresses
Primary practice location
2085 E Dakota Ave
Fresno, CA 93726-4804
Mailing address
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9180
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1942305826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023604",
"telephone_number": "559-600-9180",
"fax_number": "559-455-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 E DAKOTA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264804",
"telephone_number": "559-600-1500",
"fax_number": "559-455-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVALLEY",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "17302",
"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 Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.