PROMESA BEHAVIORAL HEALTH


Address: 1258 E. Belmont Avenue, Mendota, CA 93640
Phone: 5596554301

PROMESA BEHAVIORAL HEALTH (NPI# 1730488180) 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) 1730488180
Entity Type Organization
Organization Name PROMESA BEHAVIORAL HEALTH
Practice Address 1258 E. Belmont Avenue
Mendota
CA 93640
Mailing Address 7475 N Palm Ave Ste 107
Fresno
CA 93711-5763
Practice Telephone 5596554301
Mailing Telephone 5594395437
Mailing Fax Number 5594395411
Enumeration Date 2011-03-24
Last Update Date 2011-03-24
Authorized Official Name LISA WEIGANT (CEO)
Authorized Official Telephone 5594395437
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 101044 CA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA 101044 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073898565 Promesa Behavioral Health Community/Behavioral Health 1282 Belmont Ave, Mendota, CA 93640-2667 2011-10-15
1538440755 Promesa Behavioral Health Clinic/Center 2815 G St, Merced, CA 95340-2133 2011-09-01
1689954851 Promesa Behavioral Health Community/Behavioral Health 6052 S Juanche St, Tranqillity, CA 93668-0457 2011-08-19
1386942316 Promesa Behavioral Health Community/Behavioral Health 211 Smoot Ave, Mendota, CA 93640-2234 2011-02-28
1558667410 Promesa Behavioral Health Community/Behavioral Health 6425 W. Bowles, Raisin City, CA 93652-0069 2011-02-09
1275839136 Promesa Behavioral Health Community/Behavioral Health 19191 Excelsior Ave, Five Points, CA 93624-0398 2011-02-09
1982867180 Promesa Behavioral Health Community/Behavioral Health 741 Tulare St, Parlier, CA 93648-2541 2008-07-08
1134381452 Promesa Behavioral Health Community/Behavioral Health 2910-2920 E. Olive Ave., Fresno, CA 93701 2008-06-27
1023302098 Promesa Behavioral Health Community/Behavioral Health 740 W North Ave, Reedley, CA 93654-2418 2011-06-07
1235392440 Promesa Behavioral Health Community/Behavioral Health 900 S Newmark Ave, Parlier, CA 93648-2034 2008-07-08

Office Location

Street Address 1258 E. BELMONT AVENUE
City MENDOTA
State CA
Zip Code 93640

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285243782 Turning Point of Central California, Inc. Community/Behavioral Health 121 Belmont Ave. Ste 300, Mendota, CA 93640 2020-07-30
1881232676 Madera Community Hospital Clinic/Center 121 Belmont Ave., Suite 101, Mendota, CA 93640 2019-12-12
1912465626 Gayathri Parameswaran Iyer Dentist United Health Centers, 121 Barboza St, Mendota, CA 93640 2019-03-12
1801372594 Fresno County Superintendent of Schools Psychologist 121 Belmont Avenue, Mendota, CA 93640 2018-07-16
1689809097 Fresno County Behavioral Health Clinic/Center 121 Barbosa St., Mendota, CA 93640 2009-05-29
1588622542 James Earl Smurr Family Medicine 121 Barboza St, Mendota, CA 93640 2006-05-01
1184606634 United Health Centers of The San Joaquin Valley Clinic/Center 121 Barboza St, Mendota, CA 93640-1901 2005-11-18
1497377048 Brandon Wong Physician Assistant 121 Barboza St, Mendota, CA 93640-1901 2020-05-16
1326604364 Karen Ashley Merriweather Dentist 121 Barboza St, Mendota, CA 93640-1901 2019-05-15
1184148744 Joanna Fabris Family Medicine 121 Barboza St, Mendota, CA 93640-1901 2017-07-26
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285243782 Turning Point of Central California, Inc. Community/Behavioral Health 121 Belmont Ave. Ste 300, Mendota, CA 93640 2020-07-30
1073898565 Promesa Behavioral Health Community/Behavioral Health 1282 Belmont Ave, Mendota, CA 93640-2667 2011-10-15
1386942316 Promesa Behavioral Health Community/Behavioral Health 211 Smoot Ave, Mendota, CA 93640-2234 2011-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740881861 Griselda Tuchan Pineda Marriage and Family Therapist Inc Community/Behavioral Health 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 2020-11-04
1013518687 Turning Point of Central California, Inc. Community/Behavioral Health 3636 N 1st St Ste 112, Fresno, CA 93726-6818 2020-11-02
1588264113 Licensed Clinical Social Worker Community Alliance PC Community/Behavioral Health 301 S 23rd St, Richmond, CA 94804-2807 2020-11-01
1134729718 Cynthia Felicia Delaney Community/Behavioral Health 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 2020-10-31
1114527637 Clarke-lauren Stevenson Richard Community/Behavioral Health 1277 E Loma Linda Ave, Fresno, CA 93720-2668 2020-10-26
1891395232 Jacqulyn Danielle Rios Community/Behavioral Health 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 2020-10-26
1346849213 Greystone Behavioral Health Nursing Inc Community/Behavioral Health 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 2020-10-22
1376142216 Melissa Reyes Aguilar Community/Behavioral Health 2248 S Cochran Ave, Los Angeles, CA 90016-1218 2020-10-21
1578162616 Bayfront Healthcare Services Community/Behavioral Health 2703 N Studebaker Rd, Long Beach, CA 90815-1628 2020-10-20
1326647686 Sierra Child & Family Services Community/Behavioral Health 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 2020-10-19
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Competitor

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City MENDOTA
Zip Code 93640

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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.

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