Jennifer Lynn Soares
NPI 1215161914ActiveIndividual· Psychologist· Fresno, CA
Psychologist in Fresno, California, licensed in CA, with an NPI issued in May 2009. Medicare paid $11,105 for services to 47 patients in 2024.
Overview
| NPI | 1215161914 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 8, 2009 |
| Last updated in NPPES | Sep 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY26060 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 127 across 3 procedure codes |
| Paid by Medicare | $11,105 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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