Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Healthconnect South Medical Group Corporation

Organization Clinical Neuropsychologist · NPI 1689582207

Healthconnect South Medical Group Corporation provides Clinical Neuropsychologist services in Fresno, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
15
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Practice location Address checks out

1690 W Shaw Ave Ste 256
Fresno, CA 93711-3516
Phone: (818) 237-6783
Fax: (818) 237-6783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Clinical Neuropsychologist Taxonomy 103G00000X
Behavior Analyst Taxonomy 103K00000X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Clinical Psychologist Taxonomy 103TC0700X
Prescribing (Medical) Psychologist Taxonomy 103TP0016X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X
Neurology Physician Taxonomy 2084N0400X
General Practice Physician Taxonomy 208D00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1689582207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Floraine Domingo — Ceo · (818) 237-6783
NPI enumeratedSeptember 1, 2026
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026
Mailing address1690 W Shaw Ave Ste 220, Fresno, CA 93711-3519

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