The Sullivan Center for Children

Primary specialty

PsychologistTaxonomy code 103T00000X

License

103PC0700X Issued in CA

Legal business name

THE SULLIVAN CENTER FOR CHILDREN

Practice address

3443 West Shaw Avenue
Fresno, CA 93711

Phone

(559) 271-1186

Fax

(559) 271-8041

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Miss Mellissa R Griffith

Title

Psychologist

Phone

(559) 271-1186

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1275820680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113249",
            "telephone_number": "559-271-1186",
            "fax_number": "559-271-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 WEST SHAW AVENUE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93711",
            "telephone_number": "559-271-1186",
            "fax_number": "559-271-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SULLIVAN CENTER FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "MELLISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "559-271-1186",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "103PC0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY INSURANCE",
            "identifier": "PSB 35913",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Oncology Institute Ca, a Professional Corporation (The Oncology Institute of Hope and Innovation)
• The Reclaim Family Therapy Corporation (The Reclaim: A Therapy Collective)
• The Regents of the University of California
• The Sisters of Nazareth of Fresno (Nazareth House)
• The Struggle Huddle, a Licensed Clinical Social Worker Corporation
• The Talk Team
• The Unearthed Foundation
• The Way Forward Professional Clinical Counselor Corporation
• The Well Counseling Center, Inc
• The Wellness Center for Women and Children

• Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.