CENTRAL STAR BEHAVIORAL HEALTH, INC. (NPI# 1285118588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285118588 |
| Entity Type | Organization |
| Organization Name | CENTRAL STAR BEHAVIORAL HEALTH, INC. |
| Other Organization Name | CENTRAL STAR FSP |
| Practice Address |
2416 W Shaw Ave Ste 114 Fresno CA 93711-3303 |
| Mailing Address |
1501 Hughes Way Ste 150 Long Beach CA 90810-1878 |
| Practice Telephone | 5598404937 |
| Mailing Telephone | 3102216336 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | KENT DUNLAP (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Telephone | 3102216336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Central Star FSP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463852 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3800 Watt Ave., Suite 110, Sacramento, CA 95821-2622 | 2019-02-15 |
| 1902379068 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S. Street, Suite 101, Sacramento, CA 95811-6919 | 2019-01-10 |
| 1447740063 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3433 W Shaw Ave, Fresno, CA 93711-3229 | 2018-05-18 |
| 1770088718 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S St Ste 101, Sacramento, CA 95811-6919 | 2018-03-29 |
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1841732302 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 1539 Mchenry Ave., Modesto, CA 95350-4528 | 2016-11-14 |
| 1891170668 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 2934 N. Fresno St., Fresno, CA 93721-1405 | 2015-07-22 |
| 1518367705 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 2140 Merced Street, Suite 101, Fresno, CA 93721-1721 | 2014-08-26 |
| 1427461136 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 4411 East Kings Canyon Road, Bldg. 319, Fresno, CA 93702-3604 | 2014-06-10 |
| 1487277570 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-05-22 |
| Street Address |
2416 W SHAW AVE STE 114 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538423454 | Trina Lisa Villanueva | Counselor | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2012-06-25 |
| 1790399640 | Jessica M Garcia | Licensed Vocational Nurse | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2020-09-08 |
| 1053950576 | Naomi Christina Acuna | Marriage & Family Therapist | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2020-01-01 |
| 1124661863 | Juan Montes | Counselor | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2019-10-25 |
| 1912554940 | Ashley Ann Cuenca | Counselor | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2019-08-23 |
| 1477105021 | Traci Renee Roa | Counselor | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2019-07-14 |
| 1619438769 | Krissy Lee Ghent | Case Manager/Care Coordinator | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2019-03-29 |
| 1922564830 | Michael Joseph Santoya | Case Manager/Care Coordinator | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2019-02-15 |
| 1063997211 | Rosalio Cortez Jr. | Licensed Vocational Nurse | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2018-10-03 |
| 1114410297 | Ashley Sue Hammer | Counselor | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1003413600 | Kings View Corporation | Community/Behavioral Health | 7170 N Financial Dr Ste 110, Fresno, CA 93720-2935 | 2020-10-06 |
| 1396360855 | North Star Wellness Center, Inc | Community/Behavioral Health | 6051 N Fresno St Ste 105, Fresno, CA 93710-5280 | 2020-06-10 |
| 1710509377 | Mary Kay Buckley, Psychotherapist Inc | Community/Behavioral Health | 1357 W Shaw Ave Ste 102, Fresno, CA 93711-3619 | 2020-05-17 |
| 1992345797 | Quality Group Homes, Inc. | Community/Behavioral Health | 643 E Sample Ave, Fresno, CA 93710-5428 | 2020-01-09 |
| 1790321412 | Majesty Holistic Health Services | Community/Behavioral Health | 2906 Valiant Elm St, Fresno, TX 77545-8160 | 2019-11-19 |
| 1508410341 | Fresno Youth Care Homes, Inc. | Community/Behavioral Health | 64 E Weldon Ave, Fresno, CA 93704-5956 | 2019-07-30 |
| 1447740063 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3433 W Shaw Ave, Fresno, CA 93711-3229 | 2018-05-18 |
| 1114431897 | My Time Recovery, LLC | Community/Behavioral Health | 1107 W Rialto Ave, Fresno, CA 93705-0918 | 2017-11-17 |
| 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.