GENESIS SUBSTANCE ABUSE SERVICES (NPI# 1952518649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952518649 |
| Entity Type | Organization |
| Organization Name | GENESIS SUBSTANCE ABUSE SERVICES |
| Other Organization Name | GENESIS FAMILY CENTER |
| Practice 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 | 2007-05-16 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | MISS TONGIA SULLIVAN (PROGRAM COORDINATOR) |
| Authorized Official Telephone | 5594395437 |
| Authorized Official Credential | BA, SWK |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
100043AN | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GENESIS FAMILY CENTER | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801088513 | Genesis Substance Abuse Services | Community/Behavioral Health | 7475 N Palm Ave, Fresno, CA 93711-5763 | 2007-08-16 |
| Street Address |
7475 N PALM AVE STE 107 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-5763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780820803 | Mariana Alcala | Behavioral Analyst | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-12-18 |
| 1407092521 | Aimee Brantley | Behavioral Analyst | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-12-18 |
| 1881830909 | Jessica Sanchez | Behavioral Analyst | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-12-18 |
| 1417193533 | Marlene Lopez | Behavioral Analyst | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-12-18 |
| 1316183437 | Kristen Mckinnis | Behavioral Analyst | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-12-18 |
| 1952547077 | Chua Chang | Behavioral Analyst | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-12-18 |
| 1144466269 | Alisha Barnes | Behavioral Analyst | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-12-18 |
| 1225274350 | Yolanda Lopez | Behavioral Analyst | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-12-18 |
| 1114175486 | Lisa Schafer | Marriage & Family Therapist | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-08-28 |
| 1598921678 | Genesis Family Center | Community/Behavioral Health | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
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| 1104293141 | Jwch Institute, Inc. | Clinic/Center | 303 E 52nd St, Los Angeles, CA 90011-4513 | 2015-08-25 |
| 1750633871 | Cheznie Recovery Group | Clinic/Center | 14061 Chestnut St, Westminster, CA 92683-4262 | 2012-10-12 |
| 1992005359 | Tresses Etc | Clinic/Center | 5740 Kiyot Way, Playa Vista, CA 90094-2102 | 2010-11-01 |
| 1780860502 | Jwch Institute Inc. | Clinic/Center | 1218 E Compton Blvd, Compton, CA 90221-3310 | 2008-01-10 |
| 1548465958 | Basen Inc | Clinic/Center | 460 E Carson Plaza Dr Ste 106, Carson, CA 90746-3270 | 2007-06-15 |
| 1700411436 | Abilities Recovery Center Inc | Clinic/Center | 2285 Westwood Blvd, Los Angeles, CA 90064-2017 | 2020-03-03 |
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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.