NPIMap

Organization Active NPI

Promesa Behavioral Health

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1154591121
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100043AN Issued in CA
Legal business name
PROMESA BEHAVIORAL HEALTH
Practice address
7120 N Marks Ave # 110
Fresno, CA 93711
Phone
(559) 439-5437
Fax
(559) 439-5411
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Amanda Irene Reed, LMFT
Title
Director
Phone
(559) 341-2394

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X 100043AN CA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1044 CA

Addresses

Primary practice location

7120 N Marks Ave # 110
Fresno, CA 93711

Mailing address

7120 N Marks Ave # 110
Fresno, CA 93711-0268
Phone (559) 439-5437

Other practice location 1

7475 N Palm Ave # 107
Fresno, CA 93711-5763
Phone (559) 439-5437

Other identifiers 2

IdentifierTypeStateIssuer
101044MedicaidCA
1044MedicaidCA

Other names 1

  • Promesa Behavioral Health-Marks Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promesa Behavioral Health FCHN39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1154591121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 N MARKS AVE # 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110268",
            "telephone_number": "559-439-5437",
            "fax_number": "559-439-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 N MARKS AVE # 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93711",
            "telephone_number": "559-439-5437",
            "fax_number": "559-439-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7475 N Palm Ave # 107",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937115763",
            "country_code": "US",
            "telephone_number": "559-439-5437",
            "fax_number": "559-439-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROMESA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-341-2394",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "100043AN",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "1044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101044",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promesa Behavioral Health-Marks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 2025; 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.