MRS. ALEXANDRA ADDO-BOATENG (NPI# 1720519580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720519580 |
| Entity Type | Individual |
| Full Name | MRS. ALEXANDRA ADDO-BOATENG |
| Practice Address |
1680 W Shaw Ave Fresno CA 93711-3504 |
| Practice Telephone | 5305200928 |
| Mailing Telephone | 5305200928 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSB94023150 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 701189 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1680 W SHAW AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023573482 | Karla Cruz | Health Educator | 1680 W Shaw Ave, Fresno, CA 93711-3504 | 2019-02-09 |
| 1518421312 | Gina Falcon | Health Educator | 1680 W Shaw Ave, Fresno, CA 93711-3504 | 2019-01-25 |
| 1083188494 | Julia Ruiz | Health Educator | 1680 W Shaw Ave, Fresno, CA 93711-3504 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| 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 |
| 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 |
| 1780921270 | Brad Lyons | Psychologist | 1704 E Bullard Ave, Fresno, CA 93710-5856 | 2013-01-03 |
| 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.