FRESNO COUNTY BEHAVIORAL HEALTH (NPI# 1336373554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336373554 |
| Entity Type | Organization |
| Organization Name | FRESNO COUNTY BEHAVIORAL HEALTH |
| Other Organization Name | CRISIS PSYCHIATRIC RESPONSE SERVICES |
| Practice Address |
4411 E Kings Canyon Rd Fresno CA 93702-3604 |
| Mailing Address |
5108 E Clinton Way Ste 108 Fresno CA 93727-2043 |
| Practice Telephone | 5594538905 |
| Mailing Telephone | 5594523470 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |
| Authorized Official Name | GIANG NGUYEN (MENTAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 5594523463 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crisis Psychiatric Response Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689809097 | Fresno County Behavioral Health | Clinic/Center | 121 Barbosa St., Mendota, CA 93640 | 2009-05-29 |
| 1912159344 | Fresno County Behavioral Health | Psychiatric Residential Treatment Facility | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2008-10-16 |
| Street Address |
4411 E KINGS CANYON RD |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275132 | Marianne Elena Tur | Nurse Practitioner | 4411 E Kings Canyon Rd, Fresno, CA 93702 | 2005-06-20 |
| 1992304653 | Ronda Denise Lincoln | Registered Nurse | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-10-22 |
| 1871100248 | Tanveer Hans | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-29 |
| 1568079192 | Samantha Hagerman | Registered Nurse | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-28 |
| 1952917130 | Aly Kelly Ly | Registered Nurse | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-22 |
| 1144848615 | Jennifer Salinas | Licensed Vocational Nurse | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-10 |
| 1144848052 | Amarvir Khroud | Registered Nurse | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-07 |
| 1841818994 | Maria Lourdes Aguilar | Licensed Vocational Nurse | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-06 |
| 1366069577 | Ulysses Ruvalcaba | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-03 |
| 1013532316 | Nada Moua | Registered Nurse | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1629699327 | A New Awakening of The San Joaquin | Clinic/Center | 1121 S Dee Ann Ave, Fresno, CA 93727-0847 | 2020-05-04 |
| 1487193058 | Haskins Residential Care | Clinic/Center | 1037 S Chestnut Ave, Fresno, CA 93702-3907 | 2017-02-15 |
| 1710430418 | St.joseph Counseling Center | Clinic/Center | 5430 N. Palm #108, St. Joseph Counseling Center, Fresno, CA 93704-1900 | 2016-07-28 |
| 1699909812 | County of Fresno | Clinic/Center | 4441 East Kings Canyon Road, Fresno, CA 93702 | 2009-05-04 |
| 1366580540 | Baart Behavioral Health Services, Inc | Clinic/Center | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2007-02-01 |
| 1013069830 | Fresno County California Clinic | Clinic/Center | 851 Van Ness Ave, Fresno, CA 93721-2637 | 2007-01-18 |
| 1457952756 | Kristin O. Tristao, Ph.d., Psychologist, PC | Clinic/Center | 6700 N 1st St Ste 138, Fresno, CA 93710-3956 | 2020-11-03 |
| 1922607092 | Jus 4 Today | Clinic/Center | 3752 N 1st St, Fresno, CA 93726-5601 | 2020-10-20 |
| 1851925507 | Derric Brown Lcsw, Licensed Clinical Social Worker Inc. | Clinic/Center | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2020-03-02 |
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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.