Active NPI
Mitchel Cory Casados, PH. D.
- Psychologist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 29898
- Practice address
- 4862 E Clinton Ave
Fresno, CA 93703-2873 - Phone
- (559) 252-2450
- NPI assigned
- Jan 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 29898 | CA | Primary |
Addresses
Primary practice location
4862 E Clinton Ave
Fresno, CA 93703-2873
Mailing address
3433 W Shaw Ave Ste 108
Fresno, CA 93711-3229
Phone (559) 813-0461
Other practice location 1
2216 E Cambridge Ave
Fresno, CA 93703-2123
Phone (559) 252-2140
Other practice location 2
6224 W Belmont Ave
Fresno, CA 93723-9556
Phone (559) 277-9089
Other practice location 3
4946 E Yale Ave Ste 103
Fresno, CA 93727-1571
Phone (559) 813-0461
Other practice location 4
1105 E Yale Ave
Fresno, CA 93704-6238
Phone (559) 252-1738
Other practice location 5
320 E Warner Ave
Fresno, CA 93710-3711
Phone (559) 252-1613
Other practice location 6
643 E Sample Ave
Fresno, CA 93710-5428
Phone (559) 252-2204
Other practice location 7
3894 E Gettysburg Ave
Fresno, CA 93726-0901
Phone (559) 454-0822
Other practice location 8
4165 E Perrin Rd
Clovis, CA 93619-9118
Phone (559) 297-6893
Other practice location 9
3267 W Rialto Ave
Fresno, CA 93722-4138
Phone (559) 244-0881
Other practice location 10
6250 N Millbrook Ave
Fresno, CA 93710-5620
Phone (559) 431-7874
Other practice location 11
2934 N Fresno St
Fresno, CA 93703-1123
Phone (559) 549-6697
Other practice location 12
1911 N Fine Ave
Fresno, CA 93727-1510
Phone (559) 813-0461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29898 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Group Homes, Inc. | Current | Accepting new patients | |
| Integra LLC | Psychologist | Current | Accepting new patients |
| California Consortium for Prevention and Intervention | Psychologist | Current | Accepting new patients |
| Central Star Behavioral Health, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients |
Locations
1911 N Fine Ave
Fresno, CA 93727
Phone (303) 435-9943
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Fresno, CA
- NPI 1346094729
-
- Intellectual & Developmental Disabilities Psychologist
- Fresno, CA
- NPI 1144074527
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1447899786
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1255218905
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1023657129
-
- Mental Illness Community Based Residential Treatment Facility
- Clovis, CA
- NPI 1063051167
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1255970356
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1265072060
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1457990541
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1801436704
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1851930952
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1942849013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1013339985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 W SHAW AVE STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113229",
"telephone_number": "559-813-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4862 E CLINTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937032873",
"telephone_number": "559-252-2450"
}
],
"practiceLocations": [
{
"address_1": "2216 E Cambridge Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937032123",
"country_code": "US",
"telephone_number": "559-252-2140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6224 W Belmont Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937239556",
"country_code": "US",
"telephone_number": "559-277-9089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4946 E Yale Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937271571",
"country_code": "US",
"telephone_number": "559-813-0461",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1105 E Yale Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937046238",
"country_code": "US",
"telephone_number": "559-252-1738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 E Warner Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937103711",
"country_code": "US",
"telephone_number": "559-252-1613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "643 E Sample Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937105428",
"country_code": "US",
"telephone_number": "559-252-2204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3894 E Gettysburg Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937260901",
"country_code": "US",
"telephone_number": "559-454-0822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4165 E Perrin Rd",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936199118",
"country_code": "US",
"telephone_number": "559-297-6893",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3267 W Rialto Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937224138",
"country_code": "US",
"telephone_number": "559-244-0881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6250 N Millbrook Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937105620",
"country_code": "US",
"telephone_number": "559-431-7874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2934 N Fresno St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937031123",
"country_code": "US",
"telephone_number": "559-549-6697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1911 N Fine Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937271510",
"country_code": "US",
"telephone_number": "559-813-0461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASADOS",
"first_name": "MITCHEL",
"middle_name": "CORY",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-13",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "29898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.