DUNAMIS ,INC GROUP HOME (NPI# 1477931855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477931855 |
| Entity Type | Organization |
| Organization Name | DUNAMIS ,INC GROUP HOME |
| Other Organization Name | DUNAMIS.INC |
| Practice Address |
1001 S Chestnut Ave Fresno CA 93702-3907 |
| Mailing Address |
4991 E Mckinley Ave Fresno CA 93727-1900 |
| Practice Telephone | 5599812143 |
| Mailing Telephone | 5599812143 |
| Mailing Fax Number | 5599815039 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | MR. ORLANDO GILLAM II (CEO) |
| Authorized Official Telephone | 5599812143 |
| 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 |
| Street Address |
1001 S CHESTNUT AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750937116 | Donald E Sherman Jr. | Counselor | 1001 S Chestnut Ave, Fresno, CA 93702-3907 | 2019-08-12 |
| 1184073413 | Eminence Healthcare Services, LLC | Clinic/Center | 1001 S Chestnut Ave, Fresno, CA 93702-3907 | 2016-06-07 |
| 1114306909 | Dunamis.inc | Counselor | 1001 S Chestnut Ave, Fresno, CA 93702-3907 | 2015-05-26 |
| 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 | 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 |
|---|---|---|---|---|
| 1376829333 | Dunamis,inc Group Home | Clinic/Center | 1019 N Peach Ave, Fresno, CA 93727-2465 | 2011-10-22 |
| 1346525334 | Dunamis,inc Group Home | Clinic/Center | 1239 W Mesa Ave, Fresno, CA 93711-2007 | 2011-10-21 |
| 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.