Active NPI
Denise Rebecca Grisez, MS
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1164594396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 45943
- Practice address
- 2595 E Perrin Ave
Suite 113
Fresno, CA 93720-5202 - Phone
- (559) 325-6700
- Fax
- (559) 325-6709
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 45943 | CA | Primary |
Addresses
Primary practice location
2595 E Perrin Ave
Suite 113
Fresno, CA 93720-5202
Mailing address
PO Box 283
Clovis, CA 93613-0283
Phone (559) 325-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45943 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1164594396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 283",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936130283",
"telephone_number": "559-325-6700",
"fax_number": "559-325-6709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2595 E PERRIN AVE",
"address_2": "SUITE 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937205202",
"telephone_number": "559-325-6700",
"fax_number": "559-325-6709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISEZ",
"first_name": "DENISE",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "45943",
"primary": true
}
],
"identifiers": [],
"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 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.