CENTRAL VALLEY BEHAVIORAL HEALTH, LLC (NPI# 1720544083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720544083 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY BEHAVIORAL HEALTH, LLC |
| Other Organization Name | ASCEND BEHAVIORAL HEALTH |
| Practice Address |
7065 N Maple Ave Ste 104 Fresno CA 93720-8013 |
| Practice Telephone | 5594723371 |
| Mailing Telephone | 5594723371 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MATTHEW TATUM (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5595939801 |
| 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 |
|---|---|
| Ascend Behavioral Health | Doing Business As Name - Organization |
| Street Address |
7065 N MAPLE AVE STE 104 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-8013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093062382 | Matt James Bobman | Physical Therapist | 7065 N Maple Ave Ste 104, Fresno, CA 93720-8013 | 2012-08-06 |
| 1891260576 | Sierra Meadows Behavioral Health | Psychiatric Residential Treatment Facility | 7065 N Maple Ave Ste 104, Fresno, CA 93720 | 2018-10-09 |
| 1609313063 | Yancey Anne Folkendt | Marriage & Family Therapist | 7065 N Maple Ave Ste 104, Fresno, CA 93720 | 2017-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| 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 |
| 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 |
| 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.