Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY VINCENT BOLTON, PH.D.
Active Sole ProprietorDR. JEREMY VINCENT BOLTON, PH.D. is a Clinical Psychologist healthcare provider located in FRESNO, California. NPI 1215789276 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FRESNO, CA
Registration Details
- NPI Number
- 1215789276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2024 (2.1808543043328 yrs)
- Last Updated
- Oct 28, 2025
- Licenses
-
122557 (IA)PSY36084 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
516 W SHAW AVEFRESNO, CA, 937042515Browse CA providers · Browse ZIP 93704
- Phone
- 5598039613
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN GALE OROVITZ | PH.D. | 1619965290 |
| DR. MICHAEL FOX ANTRIM | PH.D. | 1336130053 |
| DR. MICHAEL SETH KESSELMAN | PHD | 1952384620 |
| DR. AHMAD TOUSINEZHAD | PHD | 1487631446 |
| DR. JOSEPH E SHUMAN | PSY.D. | 1972565711 |
| DR. THOMAS W SHAFFER | PHD | 1275573230 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.