City Psychology, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17076 Issued in CA

Legal business name

CITY PSYCHOLOGY, INC.

Practice address

909 15TH St Ste 8
Modesto, CA 95354-1130

Phone

(209) 529-7807

Fax

(209) 529-7919

NPI assigned

Feb 3, 2015

Last updated

Jan 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia VincentNPI 1770696478

Title

Owner

Phone

(209) 529-7807

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Lin Vincent, PH.D.

  • Psychologist
  • Modesto, CA
  • NPI 1770696478
  Medicare reassignment NPD Authorized official
• Amarpreet Kaur

  • Professional Counselor
  • Ceres, CA
  • NPI 1487305579
  NPD
• Ashour Badal

  • Marriage & Family Therapist
  • Modesto, CA
  • NPI 1780041335
  NPD (past)
• Marilyn Jean Eppler-Noble, MA, MFT

  • Marriage & Family Therapist
  • Modesto, CA
  • NPI 1871699330
  NPD (past)

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1972993509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953530721",
            "telephone_number": "209-529-7807",
            "fax_number": "209-529-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 15TH ST STE 8",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541130",
            "telephone_number": "209-529-7807",
            "fax_number": "209-529-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-529-7807"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Cisneros, PHD
• Isabella Cisneros
• James Vincent Cisneros
• Leslie Jailene Cisneros
• Lisabeth Cisneros
• Sarabjit Kaur Claire
• Cassandra Clark-Herron
• Brittney Clark
• Karyn E. Clark, PHD, ACADC
• Kella Cecile Clark, PPS, MS

• Clinical Psychologist in Modesto, CA
• Providers in Modesto, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.