MEDICARE: MANDALA PSYCHOLOGY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1295687275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANDALA PSYCHOLOGY INC

Provider Business Mailing Address
First Line	:	3097 WILLOW AVE STE 11
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-4715
Country	:	US
Telephone Number	:	559-899-6755
Fax Number	:

Provider Business Practice Location Address
First Line	:	3097 WILLOW AVE STE 11
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-4715
Country	:	US
Telephone Number	:	559-899-6755
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL PSYCHOLOGIST/CEO
Name	:	DR. ARIANA A LOPEZ-TURNER
Credential	:	PSYD
Telephone Number	:	559-899-6755

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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