NPIMap

Organization Active NPI

Promesa Behavioral Health

  • Community/Behavioral Health Agency
  • Five Points, CA
National Provider Identifier
1275839136
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
101044 Issued in CA
Legal business name
PROMESA BEHAVIORAL HEALTH
Practice address
19191 Excelsior Ave
Five Points, CA 93624-0398
Phone
(559) 884-2492
NPI assigned
Feb 9, 2011
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Lisa Weigant, MANPI 1376716241
Title
Ceo
Phone
(559) 439-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101044 CA Primary

Addresses

Primary practice location

19191 Excelsior Ave
Five Points, CA 93624-0398

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Promesa Behavioral Health-Enhanced Isfc39 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1275839136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 N PALM AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115763",
            "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": "19191 EXCELSIOR AVE",
            "city": "FIVE POINTS",
            "state": "CA",
            "postal_code": "936240398",
            "telephone_number": "559-884-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMESA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "WEIGANT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-439-5437",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "101044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.