Organization · Type 2 NPI

Healthconnect South Medical Group Corporation

Psychologist · Fresno, CA

NPI number 1689582207 Active

Practice location

1690 W Shaw Ave Ste 256
Fresno, CA 93711-3516

Call (818) 237-6783 Map

Fax (818) 237-6783

Mailing address

1690 W Shaw Ave Ste 220
Fresno, CA 93711-3519

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XNone listed
Behavior Analyst 103K00000XNone listed
Psychologist Primary 103T00000XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Clinical Psychologist 103TC0700XNone listed
Prescribing (Medical) Psychologist 103TP0016XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Behavioral Neurology & Neuropsychiatry Physician 2084B0040XNone listed
Neurology Physician 2084N0400XNone listed
General Practice Physician 208D00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Pain Clinic/Center 261QP3300XNone listed

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 adjustmen…

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About NPI 1689582207

Healthconnect South Medical Group Corporation's National Provider Identifier is 1689582207, issued on Sep 1, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fresno, CA. The record was last updated on Sep 14, 2026.