Individual provider Active NPI

Sukhjit K Mann, PHD

  • Clinical Psychologist
  • Fresno, CA
National Provider Identifier
1972149706
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31089 Issued in CA
Practice address
2140 N Winery Ave Ste 101
Fresno, CA 93703-4807
Phone
(559) 216-0125
Fax
(559) 201-6363
NPI assigned
Nov 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 31089 CA
Clinical Psychologist 103TC0700X 31089 CA Primary

Addresses

Primary practice location

2140 N Winery Ave Ste 101
Fresno, CA 93703-4807

Mailing address

2140 N Winery Ave Ste 101
Fresno, CA 93703-4807
Phone (559) 216-0125

Other practice location 1

26501 Avenue 140
Porterville, CA 93257-9109
Phone (559) 782-2409

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122001838 CA Practitioner - Clinical Psychologist 2264867282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Datnguyen, M.D., Inc.Group PAC ID 4587668736, 16 clinicians

Practice addresses (Care Compare)

5565 Grossmont Ctr Dr
Suite 229
La Mesa, CA 91942-3026
Phone (858) 342-4572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31089CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Assessments & Psychotherapy Inc Mental Health CurrentSince Jun 1, 2022 Accepting new patients
D William Nguyen MD Apc CurrentSince Mar 24, 2024 Accepting new patients
Datnguyen MD Inc CurrentSince Jan 14, 2023 Accepting new patients

Locations

2170 N Winery Ave
Fresno, CA 93703
Phone (559) 216-0125

2140 N Winery Ave
Ste 101
Fresno, CA 93703
Phone (559) 216-0125

5565 Grossmont Center Dr
Ste 229
La Mesa, CA 91942
Phone (619) 280-3500

9855 Erma Rd
Ste 133
San Diego, CA 92131
Phone (619) 733-5192

Organizations & group practices 3

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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1972149706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N WINERY AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937034807",
            "telephone_number": "559-216-0125",
            "fax_number": "559-201-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 N WINERY AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937034807",
            "telephone_number": "559-216-0125",
            "fax_number": "559-201-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26501 Avenue 140",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932579109",
            "country_code": "US",
            "telephone_number": "559-782-2409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "SUKHJIT",
        "middle_name": "K",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31089",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.