DUNAMIS,INC GROUP HOME (NPI# 1346525334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346525334 |
| Entity Type | Organization |
| Organization Name | DUNAMIS,INC GROUP HOME |
| Other Organization Name | DUNAMIS,INC |
| Practice Address |
1239 W Mesa Ave Fresno CA 93711-2007 |
| Mailing Address |
823 W Sussex Way Fresno CA 93705-2021 |
| Practice Telephone | 2817825887 |
| Mailing Telephone | 2817825887 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |
| Authorized Official Name | MR. ORLANDO GILLAM II (CEO) |
| Authorized Official Telephone | 2817825887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| dunamis,Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376829333 | Dunamis,inc Group Home | Clinic/Center | 1019 N Peach Ave, Fresno, CA 93727-2465 | 2011-10-22 |
| 1255616249 | Dunamis,inc Group Home | Clinic/Center | 5445 N Palm Ave, Fresno, CA 93704-1941 | 2011-10-21 |
| 1285921957 | Dunamis,inc Group Home | Community/Behavioral Health | 823 W Sussex Way, Fresno, CA 93705-2021 | 2011-07-01 |
| 1922375104 | Dunamis,inc Group Home | Clinic/Center | 1019 S Peach Ave, Fresno, CA 93727-4889 | 2011-11-16 |
| 1164707154 | Dunamis,inc Group Home | Clinic/Center | 2727 N Cedar Ave, Fresno, CA 93703-2016 | 2011-10-21 |
| Street Address |
1239 W MESA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-2007 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477931855 | Dunamis,inc Group Home | Clinic/Center | 1001 S Chestnut Ave, Fresno, CA 93702-3907 | 2015-05-18 |
| 1376829333 | Dunamis,inc Group Home | Clinic/Center | 1019 N Peach Ave, Fresno, CA 93727-2465 | 2011-10-22 |
| 1255616249 | Dunamis,inc Group Home | Clinic/Center | 5445 N Palm Ave, Fresno, CA 93704-1941 | 2011-10-21 |
| 1518095488 | Violet Heintz Education Academy | Clinic/Center | 4939 E Yale Ave, Fresno, CA 93727 | 2007-03-01 |
| 1760940951 | Central Valley Wellness Center | Clinic/Center | 1478 W Shaw Ave, Fresno, CA 93711-3607 | 2019-03-06 |
| 1720544083 | Central Valley Behavioral Health, LLC | Clinic/Center | 7065 N Maple Ave Ste 104, Fresno, CA 93720-8013 | 2019-02-12 |
| 1922375104 | Dunamis,inc Group Home | Clinic/Center | 1019 S Peach Ave, Fresno, CA 93727-4889 | 2011-11-16 |
| 1164707154 | Dunamis,inc Group Home | Clinic/Center | 2727 N Cedar Ave, Fresno, CA 93703-2016 | 2011-10-21 |
| 1851539803 | Fresno County Department of Children and Family Services | Clinic/Center | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2009-01-29 |
| 1093912115 | Fresno County Community Outreach for Psychiatric Emergencies | Clinic/Center | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-07-02 |
| 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.