FRESNO COUNTY COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES (NPI# 1093912115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093912115 |
| Entity Type | Organization |
| Organization Name | FRESNO COUNTY COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES |
| Practice Address |
3147 N Millbrook Ave Fresno CA 93703-1425 |
| Practice Telephone | 5594534309 |
| Mailing Telephone | 5594534309 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DONNA SUE TAYLOR (INTERIM DEPUTY DIRECTOR) |
| Authorized Official Telephone | 5594535798 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0000010AQ | 05 | |
| COST CENTER | 2244 | 01 |
| Street Address |
3147 N MILLBROOK AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487714416 | Danielle A Payn | Recreation Therapist | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-12-11 |
| 1467980185 | Bao Yang | Marriage & Family Therapist | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2017-05-25 |
| 1588042170 | Youth Wellness Center | Clinic/Center | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2015-05-14 |
| 1972990406 | April Ornelas | Counselor | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2015-04-22 |
| 1144616723 | Leiann Green | Counselor | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2015-04-10 |
| 1023403540 | Norma Quintana | Counselor | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2015-04-01 |
| 1003201575 | Marisa Romero | Counselor | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2015-04-01 |
| 1679976070 | Adam Magallanez | Counselor | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2014-09-30 |
| 1295073674 | Christinna Williams | Counselor | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2013-01-20 |
| 1255698098 | Milagro Rebecca Arevalo | Marriage & Family Therapist | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477931855 | Dunamis,inc Group Home | Clinic/Center | 1001 S Chestnut Ave, Fresno, CA 93702-3907 | 2015-05-18 |
| 1376829333 | Dunamis,inc Group Home | Clinic/Center | 1019 N Peach Ave, Fresno, CA 93727-2465 | 2011-10-22 |
| 1346525334 | Dunamis,inc Group Home | Clinic/Center | 1239 W Mesa Ave, Fresno, CA 93711-2007 | 2011-10-21 |
| 1255616249 | Dunamis,inc Group Home | Clinic/Center | 5445 N Palm Ave, Fresno, CA 93704-1941 | 2011-10-21 |
| 1518095488 | Violet Heintz Education Academy | Clinic/Center | 4939 E Yale Ave, Fresno, CA 93727 | 2007-03-01 |
| 1760940951 | Central Valley Wellness Center | Clinic/Center | 1478 W Shaw Ave, Fresno, CA 93711-3607 | 2019-03-06 |
| 1720544083 | Central Valley Behavioral Health, LLC | Clinic/Center | 7065 N Maple Ave Ste 104, Fresno, CA 93720-8013 | 2019-02-12 |
| 1922375104 | Dunamis,inc Group Home | Clinic/Center | 1019 S Peach Ave, Fresno, CA 93727-4889 | 2011-11-16 |
| 1164707154 | Dunamis,inc Group Home | Clinic/Center | 2727 N Cedar Ave, Fresno, CA 93703-2016 | 2011-10-21 |
| 1851539803 | Fresno County Department of Children and Family Services | Clinic/Center | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2009-01-29 |
| 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.