Individual provider Active NPI

Colleen Marie Connor, M.D.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1184775926
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G73855 Issued in CA
Practice address
1925 E Dakota Ave
Fresno, CA 93726-4821
Phone
(559) 600-9180
Fax
(559) 600-7672
NPI assigned
Jan 16, 2007
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD439017 PA
Geriatric Psychiatry Physician 2084P0805X G73855 CA
Psychiatry Physician 2084P0800X G73855 CA Primary
Geriatric Psychiatry Physician 2084P0805X MD439017 PA

Addresses

Primary practice location

1925 E Dakota Ave
Fresno, CA 93726-4821

Mailing address

252 Vincent Rd
Paoli, PA 19301-1127
Phone (619) 379-0914

Other practice location 1

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080417000607 CA Practitioner - Psychiatry 3476631318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Pennsylvania State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of FresnoGroup PAC ID 4981591690, 22 clinicians

Practice addresses (Care Compare)

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD439017PAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Fresno CurrentSince Aug 2, 2016 Accepting new patients
County of Fresno CurrentSince Aug 2, 2016 Accepting new patients
Mountain Valleys Health Centers CurrentSince Oct 29, 2017 Accepting new patients
Mountain Valleys Health Centers CurrentSince Oct 29, 2017 Accepting new patients

Locations

554-850 Medical Center Dr
Bieber, CA 96009
Phone (530) 294-5629

37491 Enterprise Dr
Burney, CA 96013
Phone (530) 335-5457

1925 E Dakota Ave
Fresno, CA 93726
Phone (559) 216-1075

4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1184775926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 VINCENT RD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011127",
            "telephone_number": "619-379-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821",
            "telephone_number": "559-600-9180",
            "fax_number": "559-600-7672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD439017",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "G73855",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G73855",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD439017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.