Healthcare Provider Details

I. General information

NPI: 1972953875
Provider Name (Legal Business Name): ACHIEVEMENTS UNLIMITED CLINICAL PSYCHOLOGY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 N COURT ST
VISALIA CA
93291-4913
US

IV. Provider business mailing address

180 W BULLARD AVE STE 102
CLOVIS CA
93612-0998
US

V. Phone/Fax

Practice location:
  • Phone: 559-203-3775
  • Fax: 559-326-0607
Mailing address:
  • Phone: 559-321-2322
  • Fax: 559-326-0607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberPSY 25442
License Number StateCA

VIII. Authorized Official

Name: CLAUDIA GOMEZ
Title or Position: REVENUE CYCLE SUPERVISOR
Credential:
Phone: 559-701-7984