Active NPI
Center for Creative Transformation
- Community/Behavioral Health Agency
- Fresno, CA
National Provider Identifier
1104032135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CENTER FOR CREATIVE TRANSFORMATION
- Practice address
- 5475 N. Fresno Street
Suite 109
Fresno, CA 93710-8333 - Phone
- (559) 435-7835
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David E. Roy, PH.D.,, LMFT
- Title
- Executive Director
- Phone
- (559) 435-7835
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5475 N. Fresno Street
Suite 109
Fresno, CA 93710-8333
Mailing address
5475 N. Fresno Street
Suite 109
Fresno, CA 93710-8333
Phone (559) 435-7835
National Provider Directory
National Provider DirectoryLocations
5475 N Fresno St
Ste 109
Fresno, CA 93710
Phone (559) 435-7835
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pastoral Counselor
- Fresno, CA
- NPI 1003956111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104032135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5475 N. FRESNO STREET",
"address_2": "SUITE 109",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108333",
"telephone_number": "559-435-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 N. FRESNO STREET",
"address_2": "SUITE 109",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108333",
"telephone_number": "559-435-7835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR CREATIVE TRANSFORMATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "559-435-7835",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D.,, LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.