COUNTY OF FRESNO (NPI# 1083153324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083153324 |
| Entity Type | Organization |
| Organization Name | COUNTY OF FRESNO |
| Other Organization Name | FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH BUILDING 320 |
| Practice Address |
515 S Cedar Ave Fresno CA 93702-2908 |
| Practice Telephone | 5596009199 |
| Practice Fax Number | 5596007710 |
| Mailing Telephone | 5596009199 |
| Mailing Fax Number | 5596007710 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | MRS. DAWAN UTECHT (DIRECTOR) |
| Authorized Official Telephone | 5596006748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresno County Department of Behavioral Health Building 320 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054676 | County of Fresno | Clinic/Center | 4417 E Inyo St, Fresno, CA 93702-2977 | 2019-07-12 |
| 1699909812 | County of Fresno | Clinic/Center | 4441 East Kings Canyon Road, Fresno, CA 93702 | 2009-05-04 |
| 1861527517 | County of Fresno | Clinic/Center | 4409 E Inyo St Unit A, Fresno, CA 93702-2977 | 2007-02-22 |
| 1538259551 | County of Fresno | Clinic/Center | 67 E Ashlan Ave, Fresno, CA 93704-3518 | 2006-10-13 |
| 1801986823 | County of Fresno | Clinic/Center | 1345 N Peach Ave, Clovis, CA 93619-8342 | 2006-10-13 |
| 1417047432 | County of Fresno | Clinic/Center | 5250 E Church Ave, Fresno, CA 93725-0900 | 2006-10-13 |
| 1770538001 | County of Fresno | Clinic/Center | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2006-05-24 |
| 1184249534 | County of Fresno | Clinic/Center | 3333 E American Ave Bldg 702, Fresno, CA 93725-9247 | 2020-06-11 |
| 1750899316 | County of Fresno | Clinic/Center | 1925 E Dakota Ave, Suites 104 and 106, Fresno, CA 93726 | 2018-01-17 |
| 1730563032 | County of Fresno | Community/Behavioral Health | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2015-07-16 |
| Street Address |
515 S CEDAR AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427116813 | Albert C Grasso | Social Worker | 515 S Cedar Ave, Bldg. 320, Fresno, CA 93702-2908 | 2006-12-05 |
| 1932740412 | Erica Danielle Flitcraft | Counselor | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2019-10-04 |
| 1033678107 | Michelle R Cannon | Student in an Organized Health Care Education/Training Program | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2019-03-18 |
| 1780168302 | Robert Wayne Johnson | Counselor | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2018-09-19 |
| 1427501931 | Amanda M. Sayers | Marriage & Family Therapist | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2016-08-01 |
| 1033597620 | Dialectical Behavior Therapy | Clinic/Center | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2015-05-14 |
| 1952796237 | William Sweeney | Counselor | 515 S Cedar Ave, Bldg 320, Fresno, CA 93702-2908 | 2015-04-02 |
| 1144655150 | Nadine Mejia | Social Worker | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2013-09-09 |
| 1356776587 | Kiranjeet K Bains | Social Worker | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2013-09-06 |
| 1750726477 | Arica Andrea Washington | Counselor | 515 S Cedar Ave, Fresno, CA 93702-2908 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| 1962054676 | County of Fresno | Clinic/Center | 4417 E Inyo St, Fresno, CA 93702-2977 | 2019-07-12 |
| 1740740331 | Clinica Sierra Vista | Clinic/Center | 3451 W Shaw Ave Ste 105, Fresno, CA 93711-3242 | 2019-03-21 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1730445032 | Carol Montgomery Brosnac, Lmft | Clinic/Center | 5637 N Figarden Dr, Suite #116, Fresno, CA 93722-3580 | 2012-04-11 |
| 1023270907 | Metro Services | Clinic/Center | 4447 E. Kings Canyon Rd, Fresno, CA 93702 | 2008-07-01 |
| 1861527517 | County of Fresno | Clinic/Center | 4409 E Inyo St Unit A, Fresno, CA 93702-2977 | 2007-02-22 |
| 1659423580 | Fresno County West Fresno Regional Mh Clinic | Clinic/Center | 302 Fresno St Ste 201, Fresno, CA 93706-3641 | 2007-01-18 |
| 1699827576 | Supported Education Employment Services | Clinic/Center | 4447 E Kings Canyon Road, Unit E, Fresno, CA 93703 | 2007-01-18 |
| 1174691554 | Panacea, Inc. | Clinic/Center | 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459 | 2006-12-01 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.