Active NPI
Ariel Celeste Sojourner Reid
- Psychologist
- Fresno, CA
National Provider Identifier
1982218251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY.0005327
- Practice address
- 2615 E Clinton Ave
Fresno, CA 93703-2223 - Phone
- (408) 836-3833
- NPI assigned
- Sep 3, 2020
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0005327 | CO | Primary |
Addresses
Primary practice location
2615 E Clinton Ave
Fresno, CA 93703-2223
Mailing address
1801 Gibson Blvd SE Apt 1113
Albuquerque, NM 87106-3359
Phone (408) 836-3833
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005327 | CO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1982218251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 GIBSON BLVD SE APT 1113",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871063359",
"telephone_number": "408-836-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 E CLINTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937032223",
"telephone_number": "408-836-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "ARIEL",
"middle_name": "CELESTE SOJOURNER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0005327",
"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 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.