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Active NPI 1588694236 Individual Practitioner Male Practitioner

Dr. Clint J Soares , PhD

Psychologist - Forensic • Coalinga, CA

Professional Overview & Biography Verified Profile Summary

Dr. Clint Soares, PhD is a registered healthcare professional specializing in Psychologist - Forensic in Coalinga, CA. Practice services are available at 24511 W JAYNE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24511 W Jayne Ave

Coalinga, CA 932109503

Telephone 5599354301
Fax 5599357118
Associated Practice Facility / Clinic
🏢 Department Of State Hospitals Facility NPI 1124078704

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Coalinga, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Coalinga, CA (267 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License CA PSY18782

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Thoa Nguyen , MD

Psychiatry & Neurology - Psychiatry

NPI 1033155296

Doctor of Medicine (M.D.)

NPI 1063449981

Doctor of Philosophy (Ph.D.)

Dr. Richard Davis , DDS

Dentist - General Practice

NPI 1073553038

Doctor of Dental Surgery

Tracy Dern , PSYCH

Psychologist - Forensic

NPI 1215121678
Dr. David Olenik , MD

Psychiatry & Neurology - Forensic Psychiatry

NPI 1215191531

Doctor of Medicine (M.D.)

NPI 1225138043

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 24511 W JAYNE AVE, COALINGA, CA 932109503 (Tel: 5599354301)

📍
Updated Business Mailing Address July 08, 2007

Registered at 24511 W JAYNE AVE, COALINGA, CA 932109503 (Tel: 5599354301)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CLINT SOARES, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PSY18782 in CA)

🟢
Initial NPI Registration & Enumeration July 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588694236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

24511 W Jayne Ave

Coalinga, CA 932109503

Phone: 5599354301

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.