DR. DONALD THOMAS VERCELLINI JR. (NPI# 1518440361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518440361 |
| Entity Type | Individual |
| Full Name | DR. DONALD THOMAS VERCELLINI JR. |
| Credential | PH.D. |
| Practice Address |
1322 E Shaw Ave Ste 410 Fresno CA 93710-7904 |
| Mailing Address |
2301 De La Vina St Unit A Santa Barbara CA 93105-3873 |
| Practice Telephone | 5592261316 |
| Mailing Telephone | 5599771307 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1322 E SHAW AVE STE 410 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-7904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598623 | Susan Davin | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2005-06-17 |
| 1326669375 | Joan Joy | Marriage & Family Therapist | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2020-04-30 |
| 1528539681 | Andrew Douglas Monasterio | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2018-12-16 |
| 1518448521 | Sheng Yang | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2018-08-27 |
| 1700330891 | Ming Morris | Nurse Practitioner | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2016-08-07 |
| 1417331679 | Justin Matthew Wallace | Marriage & Family Therapist | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2015-07-16 |
| 1861739989 | Paul Hulak | Registered Nurse | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2013-01-09 |
| 1184921199 | Nadia Yousef Orme | Marriage & Family Therapist | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2011-02-28 |
| 1306156179 | Ani Tokat | Psychiatry & Neurology | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2010-10-14 |
| 1629246202 | Randy James Callahan | Physician Assistant | 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904 | 2008-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446766 | Jennifer Bopp Litz | Psychologist | 710 N Hughes Ave, Fresno, CA 93728-2518 | 2020-01-22 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1144743022 | Kathleen Ruth Bergen | Psychologist | 1141 W Shaw Ave Ste 203, Fresno, CA 93711-3713 | 2017-07-21 |
| 1720519580 | Alexandra Addo-boateng | Psychologist | 1680 W Shaw Ave, Fresno, CA 93711-3504 | 2017-03-23 |
| 1982143509 | Christopher Aldaco-glass | Psychologist | 1439 N Poplar Ave, Fresno, CA 93728-1931 | 2017-02-15 |
| 1518403898 | Leah Anne Faurbo | Psychologist | 1926 E Michigan Ave, Fresno, CA 93703-1008 | 2017-01-11 |
| 1235674920 | Tamar Marie Kenworthy | Psychologist | 5610 N Citrus Ln, Fresno, CA 93711-5926 | 2017-01-04 |
| 1235589896 | Peter Arnold | Psychologist | 4106 W Harvard Ave, Fresno, CA 93722-6834 | 2016-06-14 |
| 1235564691 | Amber Cecelia Rivera | Psychologist | 4083 N Peach Ave Apt 165, Fresno, CA 93727-8405 | 2013-09-04 |
| 1174865141 | John Michael Kotler | Psychologist | 6641 N Marty Ave, Fresno, CA 93711-0824 | 2013-03-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.