PROMESA BEHAVIORAL HEALTH- VAN NESS


Address: 1027 N Van Ness Ave, Fresno, CA 93728
Phone: 5594395437

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 1027 N VAN NESS AVE
City FRESNO
State CA
Zip Code 93728

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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

Competitor

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City FRESNO
Zip Code 93728

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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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