Tadd Y Patrick

Primary specialty

Social WorkerTaxonomy code 104100000X

License

130690 Issued in CA

Practice address

6051 N Fresno St Ste 202
Fresno, CA 93710-5280

Phone

(559) 256-0100

NPI assigned

Nov 20, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kings View

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1508249368
  NPD (past)
• Kings View

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1912114349
  NPD (past)
• Poverello House

  • Professional Counselor
  • Fresno, CA
  • NPI 1144809161
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1104462548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE STE Q",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821",
            "telephone_number": "559-840-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N FRESNO ST STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105280",
            "telephone_number": "559-256-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1396 W Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937117126",
            "country_code": "US",
            "telephone_number": "559-840-5389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 F St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937061608",
            "country_code": "US",
            "telephone_number": "559-256-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "TADD",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "130690",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Patrick-Calvillo, MSN, PMHNP-BC
• Carlene Patrick, APCC
• Christopher Daniel Patrick
• Daniel S Patrick, MD
• Shannon Killian Patrick, CRNA
• Damrong Pattanumotana, M.D.
• Amy Patterson, BCBA
• Deborah Patterson
• Deborah M Patterson, LCSW
• Raina Elaine Patterson

• Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; 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.