ALISSA RAYLEE MANCILLA NPI 1922930064

NPI Information

  • NPI: 1922930064
  • Provider Name: ALISSA RAYLEE MANCILLA
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3636 N 1ST ST STE 135
    FRESNO, CA
    ZIP 93726
  • Phone: (559) 940-1629

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NPI Details

Alissa Raylee Mancilla is an addiction (substance use disorder) psychologist in Fresno, CA. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. Alissa Raylee Mancilla NPI is 1922930064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3636 N 1ST ST STE 135
FRESNO, CA
ZIP 93726-818
Phone: (559) 940-1629

The enumeration date for this NPI number is 6/2/2026 and was last updated on 6/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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