| Transcendence Psychological Services, Pc | |
|
2440 W Shaw Ave Ste 203 Fresno CA 93711-3300 | |
| (559) 930-5565 | |
| Not Available |
| Full Name | Transcendence Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2440 W Shaw Ave Ste 203, Fresno, California |
| Authorized Official Name and Position | Mahtab Kaeni (OWNER/ PRESIDENT) |
| Authorized Official Contact | 5599305565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transcendence Psychological Services, Pc 4756 W Harvard Ave Fresno CA 93722-8036 Ph: (310) 367-3207 | Transcendence Psychological Services, Pc 2440 W Shaw Ave Ste 203 Fresno CA 93711-3300 Ph: (559) 930-5565 |
| NPI Number | 1366915423 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 3577806785 |
|---|---|
| Medicare Enrollment ID | O20190509002280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366915423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mahtab Kaeni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578757399 PECOS PAC ID: 4486997699 Enrollment ID: I20190509002350 |
| Provider Name | Roxana Velinda Alessio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407193220 PECOS PAC ID: 8426444795 Enrollment ID: I20220413002689 |
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