THE FRESNO CENTER (NPI# 1174710651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174710651 |
| Entity Type | Organization |
| Organization Name | THE FRESNO CENTER |
| Other Organization Name | 4524A-TFC-LIVING WELL-OP/ICM-NORTH |
| Practice Address |
4871 E. Kings Canyon Road Fresno CA 93727 |
| Mailing Address |
4879 E. Kings Canyon Road Fresno CA 93727 |
| Practice Telephone | 5592558395 |
| Practice Fax Number | 5592551656 |
| Mailing Telephone | 5592558395 |
| Mailing Fax Number | 5592551656 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | DR. GHIA XIONG (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5592558395 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| 4524A-TFC-Living Well-OP/ICM-North | Other Name - Individual/Organization |
| 4540A-TFC-Living Well-FSP-North | Other Name - Individual/Organization |
| Living Well Center | Other Name - Individual/Organization |
| Living Well Center-North | Other Name - Individual/Organization |
| Living Well Program | Other Name - Individual/Organization |
| The Fresno Center For New Americans | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4855 E Kings Canyon Rd Ste 105, Fresno, CA 937273811 | 5592558395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110932 | The Fresno Center | Counselor | 4891 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-07-06 |
| 1164741070 | The Fresno Center | Psychologist | 4855 E Kings Canyon Rd # 105, Fresno, CA 93727-3811 | 2010-05-18 |
| 1437347721 | The Fresno Center | Psychiatry & Neurology | 4855 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2007-10-11 |
| 1770197659 | The Fresno Center | Clinic/Center | 4855 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-09-08 |
| Street Address |
4871 E. KINGS CANYON ROAD |
| City | FRESNO |
| State | CA |
| Zip Code | 93727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164870440 | Mary Vang | Counselor | 4871 E. Kings Canyon Road, Fresno, CA 93727 | 2016-05-27 |
| 1750699732 | Michael Thao | Psychiatry & Neurology | 4871 E. Kings Canyon Road, Fresno, CA 93727 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012658 | Susan Vue | Counselor | 4855 E King Cyn Rd Ste 105, Fresno, CA 93727-3811 | 2020-08-06 |
| 1104445543 | Chavon Cecily Williams | Counselor | 4006 Redwood Hill Ct, Fresno, TX 77545-8726 | 2020-04-15 |
| 1003444530 | Healing Hopes, Inc. | Counselor | 1960 N Gateway Blvd, Fresno, CA 93727-1604 | 2020-03-30 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1730726407 | Martha Lynn Hosier | Counselor | 1616 W Shaw Ave Ste B2, Fresno, CA 93711-3513 | 2019-12-02 |
| 1598228439 | Bayon B Harris Sr. | Counselor | 4111 W Princeton Ave, Fresno, CA 93722-6810 | 2019-04-08 |
| 1205392008 | Andrew Marshall Davis | Counselor | 320 E Warner Ave, Fresno, CA 93710-3711 | 2019-02-16 |
| 1902375637 | Andrew Arroyo | Counselor | 1925 E Rialto Ave, Fresno, CA 93726-0229 | 2018-11-26 |
| 1265917504 | Romaine Ornelia Desclos | Counselor | 6435 N Palm Ave Ste 103, Fresno, CA 93704-1086 | 2018-10-02 |
| 1508357773 | Armando Mendoza | Counselor | 3138 W Dakota Ave Spc 215, Fresno, CA 93722-4991 | 2018-05-23 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on THE FRESNO CENTER.
| 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.