Organization Active NPI

Vitalize a Professional Psychology Corporation

  • Adult Mental Health Clinic/Center
  • Visalia, CA
National Provider Identifier
1336067982
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
VITALIZE A PROFESSIONAL PSYCHOLOGY CORPORATION
Practice address
3742 W Mineral King Ave
Visalia, CA 93291-5530
Phone
(559) 797-0116
NPI assigned
Jul 9, 2026
Organization subpart
Yes
Parent organization
VITALIZE A PROFESSIONAL PSYCHOLOGY CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Dr. Jonathon David Baird, PSYD
Title
Ceo
Phone
(559) 797-0116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

3742 W Mineral King Ave
Visalia, CA 93291-5530

Mailing address

3742 W Mineral King Ave
Visalia, CA 93291-5530
Phone (559) 797-0116

National Provider Directory

National Provider Directory
Tax ID family
Vitalize a Professional Psychology Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3742 W Mineral King Ave
Visalia, CA 93291

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1336067982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915530",
            "telephone_number": "559-797-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915530",
            "telephone_number": "559-797-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIZE A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITALIZE A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-797-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.