DR. MICHAEL FOX ANTRIM


Address: 1357 W Shaw Ave, Suite 104, Fresno, CA 93711-3602
Phone: 5592225221

DR. MICHAEL FOX ANTRIM (NPI# 1336130053) 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) 1336130053
Entity Type Individual
Full Name DR. MICHAEL FOX ANTRIM
Credential PH.D.
Practice Address 1357 W Shaw Ave
Suite 104
Fresno
CA 93711-3602
Practice Telephone 5592225221
Practice Fax Number 5592223939
Mailing Telephone 5592225221
Mailing Fax Number 5592223939
Enumeration Date 2005-11-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY7647 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1357 W SHAW AVE
SUITE 104
City FRESNO
State CA
Zip Code 93711-3602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336143981 Vibrantcare Outpatient Rehabilitation of California Inc Clinic/Center 1357 W Shaw Ave, Suite 101, Fresno, CA 93711-3618 2005-06-10
1578723805 Jeoung P Park Psychologist 1357 W Shaw Ave, Ste 104, Fresno, CA 93711-3619 2008-06-10
1811166002 Tracy Jean Jolly Physical Therapist 1357 W Shaw Ave, Suite 101, Fresno, CA 93711-3602 2008-02-21
1740492586 Foxley & Herbert Medical Corporation Obstetrics & Gynecology 1357 W Shaw Ave, Ste.103, Fresno, CA 93711-3602 2007-05-04
1851431977 David Lindley Hellwig Psychologist 1357 W Shaw Ave, Suite 104, Fresno, CA 93711-3618 2007-02-07
1063522100 Robert Timothy Butler II Chiropractor 1357 W Shaw Ave, 103, Fresno, CA 93711-3602 2006-08-30
1083695969 Mary Margaret Post Social Worker 1357 W Shaw Ave, Suite 104, Fresno, CA 93711-3602 2005-11-08

Providers in the same zip code

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 Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568096121 Amy Mouanoutoua Psychologist 2109 W Bullard Ave Ste 121, Fresno, CA 93711-1258 2020-02-23
1407378771 Robert David Wells Psychologist 1100 W Shaw Ave Ste 134, Fresno, CA 93711-3708 2017-07-08
1316474026 Devin Kowalczyk Psychologist 1913 N Gateway Blvd, Suite 102, Fresno, CA 93727-1650 2017-05-12
1790153849 Judy Chang Psychologist 4820 N 1st St Ste 103, Fresno, CA 93726-0522 2015-09-07
1215333125 Robin Fey Sjostrand Psychologist 4946 E Yale Ave Ste 103, Fresno, CA 93727-1571 2014-11-05
1689098683 Julia Schomaker Psychologist 5510 N Milburn Ave Apt 215, Fresno, CA 93722-6064 2014-02-11
1912320391 Leah Leduc Psychologist 199 E Cole Ave, Fresno, CA 93720-2034 2014-01-21
1013339985 Mitchel Casados Psychologist 2380 S Sabre Ave, Fresno, CA 93727-8842 2014-01-13
1972939783 Reshale L Thomas Psychologist 2900 Fresno St Ste 108, Fresno, CA 93721 2013-09-25
1831439140 Larry Neil Ferguson Psychologist 642 E Fremont Ave, Fresno, CA 93710-3939 2013-02-22
Find all providers in FRESNO

Competitor

Search similar providers

City FRESNO
Zip Code 93711

Improve Information

Please comment or provide details below to improve the information on DR. MICHAEL FOX ANTRIM.

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.

Trending Searches