NPI Profile for CALIFORNIA CONSORTIUM FOR PREVENTION AND INTERVENTION in FRESNO, CA.
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Forensic |
103TF0200X | 62 | Psychologist, Clinical | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
School |
103TS0200X | 62 | Psychologist, Clinical |
| NPI # | 1346094729 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/12/2024 | |
| Last updated | 04/12/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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| MARK D POPPER, PhD 1960 N. GATEWAY BLVD FRESNO, CA |
| SEQUOIA PSYCHOTHERAPY CENTER, INC 1960 N. GATEWAY BLVD FRESNO, CA |
| VANG LENG MOUANOUTOUA, PhD 2211 N. FINE STREET FRESNO, CA |
| KO B FANG, PhD 2822 N. BLACKSTONE AVENUE FRESNO, CA |
| WILLIAM W LATTA, PhD 3133 NORTH MILLBROOK AVE. FRESNO, CA |
| ALEXA H WASSERMAN TONCHEFF, PSY.D. 3128 WILLOW CLOVIS, CA |
| ALEXIA B MORGAN, PHD 106 POLLASKY CLOVIS, CA |
| DARRA HIRSH, PhD 334 SHAW AVE STE 100 CLOVIS, CA |
| SHANITTA D HINES VICTOR COMMUNITY SUPPORT SERVICES 302 CHERRY LANE, CA |
| ANGELA GONZALES MEE MEMORIAL HEALTHCARE SYSTEM 300 CANAL STREET, CA |