CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION


Address: 5048 N Jackson Ave M S Ls138, Fresno, CA 93740-0001
Phone: 5592786773

CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION (NPI# 1295171007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295171007
Entity Type Organization
Organization Name CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION
Other Organization Name CENTRAL CALIFORNIA AUTISM CENTER
Practice Address 5048 N Jackson Ave M S Ls138
Fresno
CA 93740-0001
Practice Telephone 5592786773
Mailing Telephone 5592786773
Enumeration Date 2013-05-20
Last Update Date 2013-05-20
Authorized Official Name DR. AMANDA ADAMS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5592781028
Authorized Official Credential PH.D.
Is Organization Subpart Y
Parent Organization Name CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 1-12-12031 CA Agencies

Other Provider/Organization Names

Other Name Type Code
Central California Autism Center Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821362211 California State University Fresno Foundation Early Intervention Provider Agency 4910 N Chestnut Ave, Fresno, CA 93726-1852 2012-03-02

Office Location

Street Address 5048 N JACKSON AVE M S LS138
City FRESNO
State CA
Zip Code 93740-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336753912 Fernando Manriquez Magana Specialist/Technologist 5241 Nmaple Ave, Fresno, CA 93740 2020-09-01
1770039414 Riana R Pryor Specialist/Technologist 5275 N. Campus Dr., M/s Sg28, Fresno, CA 93740 2016-09-01
1194178087 Zoe Koda Higman Specialist/Technologist 1630 E Bulldog Lane, Meyers Family Sports Medicine Center, Fresno, CA 93740 2016-07-15
1437228483 Student Health Center Clinic/Center 5044n Barton Ave, Fresno, CA 93740 2006-11-06
1447759287 Kali Hartzold Specialist/Technologist 1630 East Bulldog Lane, Fresno, CA 93740-0001 2018-02-07
1538685540 Natalie Davila Specialist/Technologist 5275 N Campus Dr M/s Sg28, Fresno, CA 93740-0001 2017-08-21
1073033148 Gary Lyle Salinas Jr. Specialist/Technologist Department of Kinesiology 5275 N Campus, Fresno, CA 93740-0001 2017-06-21
1366828147 Timothy Yeager Behavioral Analyst 5048 N Jackson Ave, Fresno, CA 93740-0001 2015-08-04
1932599362 Krista Bayers Specialist/Technologist 1630 E Bulldog Ln, Fresno, CA 93740-0001 2015-01-22
1326325770 Recia Schuil Specialist/Technologist 1620 E Bulldog Ln Of87, Fresno, CA 93740-0001 2011-11-14
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City FRESNO
Zip Code 93740

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Dataset Information

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.

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