DR. LETICIA J CHAVEZ PSYD
NPI 1821311911
Psychologist - Clinical in Fresno, CA

Active since March 03, 2010Opted out of Medicare · through Jan 1, 2027
790 W SHAW AVE, SUITE 280, FRESNO, CA 93704(559) 575-0475(559) 575-0474 Get Directions Write a Review

NPPES record last updated: December 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Leticia J Chavez Psyd NPPES

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

DR. LETICIA J CHAVEZ PSYD (NPI 1821311911) is an individual clinical provider in Fresno, California, licensed in California (PSY22998) and active in the NPI registry since March 2010. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1821311911
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LETICIA J CHAVEZCredential: PSYD
Location Address790 W SHAW AVE, SUITE 280Fresno, CA 93704-2396
Mailing Address6737 N Milburn Ave, Ste 160 Pmb 103Fresno, CA 93722-2141
Fax(559) 575-0474
Sole ProprietorYes
Enumeration DateMarch 3, 2010
Last NPPES UpdateDecember 18, 2016
NPI 1821311911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY22998
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
790 W SHAW AVE, Fresno, CA 93704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Leticia J Chavez Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2021 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2021
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
790 W SHAW AVE, SUITE 280
FRESNO, CA 93704

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 Leticia Chavez's NPI number?

The NPI number for Leticia Chavez is 1821311911. It was assigned to this individual provider in the NPPES registry on March 3, 2010.

Where is Leticia Chavez located?

Leticia Chavez practices at 790 W Shaw Ave Suite 280, Fresno, CA 93704. The listed phone number is (559) 575-0475.

What is Leticia Chavez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Leticia Chavez enrolled in Medicare?

No. Leticia Chavez has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Leticia Chavez was last updated on December 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.