DR. MICHELLE RENEE LEVALLEY (NPI# 1942305826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942305826 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE RENEE LEVALLEY |
| Credential | PH.D. |
| Practice Address |
2085 E Dakota Ave Fresno CA 93726-4804 |
| Mailing Address |
4441 E Kings Canyon Rd Fresno CA 93702-3604 |
| Practice Telephone | 5596001500 |
| Practice Fax Number | 5594554641 |
| Mailing Telephone | 5596009180 |
| Mailing Fax Number | 5594554641 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
17302 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2085 E DAKOTA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124454632 | Joshua James Cochron | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2013-09-17 |
| 1588912364 | Steven Scott Scheller | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2012-08-27 |
| 1619103355 | Jaime Lee Bacon | Case Management | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2009-06-09 |
| 1356504922 | Teresa Ann Woods | Case Management | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2008-07-03 |
| 1205098621 | Demetria Costa | Case Management | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2008-06-26 |
| 1992852396 | Lorri Jayne Roscom | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2007-01-05 |
| 1164589636 | Sandra Elaine Medina I | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2007-01-03 |
| 1518028406 | Kee Lee I | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2006-12-13 |
| 1518026418 | Susan A Middleton | Social Worker | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096121 | Amy Mouanoutoua | Psychologist | 2109 W Bullard Ave Ste 121, Fresno, CA 93711-1258 | 2020-02-23 |
| 1407378771 | Robert David Wells | Psychologist | 1100 W Shaw Ave Ste 134, Fresno, CA 93711-3708 | 2017-07-08 |
| 1316474026 | Devin Kowalczyk | Psychologist | 1913 N Gateway Blvd, Suite 102, Fresno, CA 93727-1650 | 2017-05-12 |
| 1790153849 | Judy Chang | Psychologist | 4820 N 1st St Ste 103, Fresno, CA 93726-0522 | 2015-09-07 |
| 1215333125 | Robin Fey Sjostrand | Psychologist | 4946 E Yale Ave Ste 103, Fresno, CA 93727-1571 | 2014-11-05 |
| 1689098683 | Julia Schomaker | Psychologist | 5510 N Milburn Ave Apt 215, Fresno, CA 93722-6064 | 2014-02-11 |
| 1912320391 | Leah Leduc | Psychologist | 199 E Cole Ave, Fresno, CA 93720-2034 | 2014-01-21 |
| 1013339985 | Mitchel Casados | Psychologist | 2380 S Sabre Ave, Fresno, CA 93727-8842 | 2014-01-13 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| 1831439140 | Larry Neil Ferguson | Psychologist | 642 E Fremont Ave, Fresno, CA 93710-3939 | 2013-02-22 |
| 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.