STALTARO PSYCHOLOGICAL SERVICES (NPI# 1639397573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639397573 |
| Entity Type | Organization |
| Organization Name | STALTARO PSYCHOLOGICAL SERVICES |
| Practice Address |
4547 W Oslin Ave Fresno CA 93722-7349 |
| Practice Telephone | 5594335145 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PERRY STALTARO (PRESIDENT) |
| Authorized Official Telephone | 5594335145 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY18882 | CA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | STALTARO PSYCHOLOGICAL SERVICES, LLC | 96 Connecticut Blvd, East Hartford, CT 06108 |
| Street Address |
4547 W OSLIN AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-7349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| 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 |
| Find all providers in FRESNO | ||||
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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.