Healthcare Provider Details

I. General information

NPI: 1417545872
Provider Name (Legal Business Name): CARING INSIGHT PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2020
Last Update Date: 12/31/2020
Certification Date: 12/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9308 FOUR PINES DR
SHAFTER CA
93263-9430
US

IV. Provider business mailing address

9308 FOUR PINES DR
SHAFTER CA
93263-9430
US

V. Phone/Fax

Practice location:
  • Phone: 661-805-2099
  • Fax: 888-974-1145
Mailing address:
  • Phone: 661-805-2099
  • Fax: 888-974-1145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. COURTNEY MCCONNELL
Title or Position: PRESIDENT/PSYCHOLOGIST
Credential: PSYD
Phone: 661-805-2099