NPIMap

Organization Active NPI

Central California Women'S Facility, CDCR

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1124463716
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY22396 Issued in CA
Legal business name
CENTRAL CALIFORNIA WOMEN'S FACILITY, CDCR
Practice address
2844 E Vermont Ave
Fresno, CA 93720-5327
Phone
(559) 665-5531
Fax
(559) 665-6048
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Dr. Mymee M Her, PHD
Title
Clinical Psychologist
Phone
(559) 665-5531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY22396 CA Primary

Addresses

Primary practice location

2844 E Vermont Ave
Fresno, CA 93720-5327

Mailing address

2844 E Vermont Ave
Fresno, CA 93720-5327
Phone (559) 665-5531

Other identifiers 1

IdentifierTypeStateIssuer
8004039OtherCACDCR CREDENTIALS VERIFICATION UNIT

National Provider Directory

National Provider Directory
Tax ID family
State of California Prison Industry Authority30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1124463716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 E VERMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205327",
            "telephone_number": "559-665-5531",
            "fax_number": "559-665-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 E VERMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205327",
            "telephone_number": "559-665-5531",
            "fax_number": "559-665-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CALIFORNIA WOMEN'S FACILITY, CDCR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "HER",
        "authorized_official_first_name": "MYMEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "559-665-5531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY22396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDCR CREDENTIALS VERIFICATION UNIT",
            "identifier": "8004039",
            "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 May 8, 2013; 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.