Start Fresh Central Valley Recovery

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

START FRESH CENTRAL VALLEY RECOVERY

Practice address

6073 N 1St St Ste 102
Fresno, CA 93710-5444

Phone

(559) 202-3830

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Robert Graham, M.D.

Title

Supervising Physician

Phone

(559) 202-3830

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1164830501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25042",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295042",
            "telephone_number": "559-438-1245",
            "fax_number": "559-892-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6073 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105444",
            "telephone_number": "559-202-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START FRESH CENTRAL VALLEY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "559-202-3830",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Stargaard
• Maekayla Rae Starks
• Gerard Staromana
• Robert Lewis Starr Jr., D.D.S.
• Stars Behavioral Health
• State Health Care Dual Diagnosis
• State Health Care Dual Diagnosis Program
• Lynette Coleman Statham, LCSW
• Yannis M Stavropoulos, MD
• Staywell Medical Group

• Addiction Medicine (Psychiatry & Neurology) Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.