NPIMap

Organization Active NPI

Fresno County Apollo Residential Prog.

  • Psychiatric Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1104978022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
FRESNO COUNTY APOLLO RESIDENTIAL PROG.
Practice address
205 N Blackstone Ave
Fresno, CA 93701-1914
Phone
(559) 498-0241
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Giang T Nguyen
Title
Director, Fresno Co Mental Health
Phone
(559) 253-9180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X CA Primary

Addresses

Primary practice location

205 N Blackstone Ave
Fresno, CA 93701-1914

Mailing address

205 N Blackstone Ave
Fresno, CA 93701-1914
Phone (559) 498-0241

Other identifiers 1

IdentifierTypeStateIssuer
2160OtherCACOST CENTER

National Provider Directory

National Provider Directory
Tax ID family
Transitional Age Youth Expansion115 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

205 N Blackstone Ave
Fresno, CA 93701
Phone (559) 498-0241

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104978022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011914",
            "telephone_number": "559-498-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011914",
            "telephone_number": "559-498-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO COUNTY APOLLO RESIDENTIAL PROG.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "GIANG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR, FRESNO CO MENTAL HEALTH",
        "authorized_official_telephone_number": "559-253-9180"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COST CENTER",
            "identifier": "2160",
            "state": "CA"
        }
    ],
    "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.