DR. JOSEPH BACCHUS PSY.D.
NPI 1194908962
Psychologist in Coalinga, CA

Active since December 14, 2007Accepts Medicare Assignment
24511 W. JAYNE AVE., COALINGA, CA 93210(559) 934-8077 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joseph Bacchus Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH BACCHUS PSY.D. (NPI 1194908962) is an individual psychologist in Coalinga, California, licensed in California (PSY25681) and active in the NPI registry since December 2007. He is a graduate of Other (2007).

NPPES Registry Identity

NPI1194908962
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOSEPH BACCHUSCredential: PSY.D.
Location Address24511 W. JAYNE AVE.Coalinga, CA 93210
Mailing Address3065 N Marty Ave Apt 126Fresno, CA 93722-4734 · (559) 271-7520
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 14, 2007
Last NPPES UpdateMarch 3, 2017
NPI 1194908962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY25681
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
24511 W. JAYNE AVE., Coalinga, CA 93210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Bacchus Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820217151
PECOS Enrollment IDI20140917003182

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
24511 W. JAYNE AVE., COALINGA STATE HOSPITAL
COALINGA, CA 93210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Bacchus's NPI number?

The NPI number for Joseph Bacchus is 1194908962. It was assigned to this individual provider in the NPPES registry on December 14, 2007.

Where is Joseph Bacchus located?

Joseph Bacchus practices at 24511 W. Jayne Ave., Coalinga, CA 93210. The listed phone number is (559) 934-8077.

What is Joseph Bacchus's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Joseph Bacchus enrolled in Medicare?

Yes. Joseph Bacchus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joseph Bacchus was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.