PROMESA BEHAVIORAL HEALTH- VAN NESS (NPI# 1902130487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902130487 |
Entity Type | Organization |
Organization Name | PROMESA BEHAVIORAL HEALTH- VAN NESS |
Practice Address |
1027 N Van Ness Ave Fresno CA 93728 |
Mailing Address |
7475 N Palm Ave Ste 107 Fresno CA 93711-5763 |
Practice Telephone | 5594395437 |
Practice Fax Number | 5594395411 |
Mailing Telephone | 5594395437 |
Mailing Fax Number | 5594395411 |
Enumeration Date | 2009-09-30 |
Last Update Date | 2018-08-13 |
Authorized Official Name | AMANDA IRENE REED (DIRECTOR) |
Authorized Official Telephone | 5594395437 |
Authorized Official Credential | LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
Street Address |
1027 N VAN NESS AVE |
City | FRESNO |
State | CA |
Zip Code | 93728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811167927 | Rita Elizabeth Stevenson | Counselor | 1027 N Van Ness Ave, Fresno, CA 93728 | 2008-03-04 |
1063062396 | Taniesha Nicole Whitelow | Counselor | 1027 N Van Ness Ave, Fresno, CA 93728-3429 | 2019-09-18 |
1881241693 | Martin A Gonzalez | Marriage & Family Therapist | 1027 N Van Ness Ave, Fresno, CA 93728-3429 | 2019-08-26 |
1386107704 | Michelle Kathy Hill | Marriage & Family Therapist | 1027 N Van Ness Ave, Fresno, CA 93728-3429 | 2019-04-11 |
1477096725 | Stacy Lovell Slocum I | Counselor | 1027 N Van Ness Ave, Fresno, CA 93728-3429 | 2016-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
1750873717 | Focus Forward | Case Management | 732 N. Van Ness Ave, Fresno, CA 93728 | 2018-06-05 |
1578784153 | Ann B. White | Psychologist | 938 N. Van Ness Avenue, Fresno, CA 93728 | 2007-05-01 |
1891912283 | B & B Management Inc. | Dentist | 1215 N. Del Mar Ave., Fresno, CA 93728 | 2007-04-19 |
1285858696 | Geoffrey Landon Smith | Marriage & Family Therapist | 1055 N. Van Ness, Suite I, Fresno, CA 93728 | 2007-04-13 |
1225152077 | Melva Robinson | Licensed Vocational Nurse | 539 N Van Ness, Fresno, CA 93728 | 2007-03-19 |
1508902131 | Lauro Samson So | Dentist | 1436 E Olive Ave, Fresno, CA 93728 | 2007-01-30 |
1922467083 | Karie Jean Follis | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728 | 2016-02-17 |
1013216969 | Elena Soza | Counselor | 2731 W Olive Ave, Fresno, CA 93728 | 2011-03-17 |
1548438302 | Corrina Gallardo | Counselor | 539 N Van Ness Ave, Fresno, CA 93728 | 2008-02-14 |
Find all providers in zip 93728 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
1467060053 | Michigan House Inc. | Community Based Residential Treatment Facility, Mental Illness | 1224 E Michigan Ave, Fresno, CA 93704-5731 | 2020-07-20 |
1346877594 | 2nd Home Incorporated | Community Based Residential Treatment Facility, Mental Illness | 3239 E Tenaya Way, Fresno, CA 93710-5924 | 2020-03-26 |
1174185722 | Dn Associates | Community Based Residential Treatment Facility, Mental Illness | 3793 N Polk Ave, Fresno, CA 93722-9763 | 2019-07-03 |
1770143646 | Core Conditions, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3765 W Dakota Ave, Fresno, CA 93722-4784 | 2019-06-13 |
1891354023 | Core Conditions, Inc. | Community Based Residential Treatment Facility, Mental Illness | 114 S Brawley Ave, Fresno, CA 93706-2103 | 2019-06-11 |
1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
1093892663 | Crestwood Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 153 N U St, Fresno, CA 93701-2438 | 2006-11-01 |
1972112563 | Michigan House Inc. | Community Based Residential Treatment Facility, Mental Illness | 1209 S Hughes Ave, Fresno, CA 93706-2321 | 2020-07-29 |
1063021921 | Hope for Youth, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4324 W Harvard Ave, Fresno, CA 93722-5183 | 2020-07-27 |
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.