Sierra Meadows and Ascend Psychiatric Group Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SIERRA MEADOWS AND ASCEND PSYCHIATRIC GROUP INC.

Practice address

1791 E Fir Ave Ste 102
Fresno, CA 93720-3840

Phone

(559) 326-7775

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

Matthew TatumNPI 1366672313

Title

Ceo

Phone

(559) 593-9801

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Thomas Tatum, PSYD

  • Clinical Psychologist
  • Clovis, CA
  • NPI 1366672313
  NPD Authorized official

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1104499656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 E FIR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 E FIR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203840",
            "telephone_number": "559-326-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MEADOWS AND ASCEND PSYCHIATRIC GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-593-9801"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Blackston Medical Supply Inc.
• Sierra Education & Research Institute
• Sierra Family Medical Group Corp
• Sierra Haven Home Health LLC
• Sierra Industrial Medical Clinic, Inc
• Sierra Meadows Behavioral Health
• Sierra Meadows Behavioral Health
• Sierra Meadows Behavioral Health
• Sierra Meadows Senior Care, Inc.
• Sierra Medicine, Inc.

• Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.