Organization Active NPI

Center for Creative Transformation

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1104032135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 22, 2020

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.,, LMFTNPI 1003956111
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.