Promesa Behavioral Health-barstow
Community Based Residential Treatment Facility, Mental Illness

Address: 1415 W Barstow Ave, Fresno, CA 93711
Phone: 5594395437

Promesa Behavioral Health-barstow (NPI# 1245725506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1245725506
Entity Type Organization
Organization Name PROMESA BEHAVIORAL HEALTH-BARSTOW
Practice Address 1415 W Barstow Ave
Fresno
CA 93711
Practice Telephone 5594395437
Mailing Address 7120 N Marks Ave Ste 110
Fresno
CA 93711-0268
Mailing Telephone 5593412394
Authorized Official Name Amanda Irene Reed (DIRECTOR)
Authorized Official Telephone 5594395437
Authorized Official Credential LMFT
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-06-28
Last Update Date 2018-08-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities 107200789 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 101044 MEDICAID

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
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
1093892663 Crestwood Behavioral Health, Inc. Community Based Residential Treatment Facility, Mental Illness 153 N U St, Fresno, CA 93701-2438 2006-11-01
1225697535 Core Conditions, Inc. Community Based Residential Treatment Facility, Mental Illness 2142 N Blythe Ave, Fresno, CA 93722-5402 2019-06-10
1154816411 Promesa Behavioral Health-spruce Community Based Residential Treatment Facility, Mental Illness 775 E Spruce Ave, Fresno, CA 93720 2018-06-28
1962997221 Promesa Behavioral Health- Millbrook Community Based Residential Treatment Facility, Mental Illness 4291 N Millbrook Ave, Fresno, CA 93726 2018-06-28
1871088138 Promesa Behavioral Health-minarets Community Based Residential Treatment Facility, Mental Illness 718 E Minarets Ave, Fresno, CA 93720 2018-06-28
1720527252 Natalie Haskins Community Based Residential Treatment Facility, Mental Illness 1037 S Chestnut Ave, Fresno, CA 93702-3907 2017-02-16
Find all providers in FRESNO

Office Location

Street Address 1415 W BARSTOW AVE
City FRESNO
State CA
Zip Code 93711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962044339 Janine Mora Counselor 1415 W Barstow Ave, Fresno, CA 93711-3018 2019-10-17
1740845353 Christian Emilio Olivas Counselor 1415 W Barstow Ave, Fresno, CA 93711-3018 2019-05-08

Providers in the same zip code

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
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
1356870604 Alma B Vega Counselor 2684 W Stuart Ave, Fresno, CA 93711 2017-06-09
Find all providers in zip 93711

Competitor

Search similar providers

City FRESNO
Zip Code 93711

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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.