Active NPI
Vitalize a Professional Psychology Corporation
- Adult Mental Health Clinic/Center
- Visalia, CA
National Provider Identifier
1336067982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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 CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Fresno, CA
- NPI 1215769104
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.
-
- Adult Mental Health Clinic/Center
- Fresno, CA
- NPI 1215769104
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.