Organization Active NPI

Infant of Prague Adoption Service

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1356905517
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INFANT OF PRAGUE ADOPTION SERVICE
Practice address
2350 W Shaw Ave Ste 142
Fresno, CA 93711-3412
Phone
(559) 447-3333
Fax
(559) 447-3322
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Ms. Sylvia Coyle
Title
Executive Director
Phone
(559) 447-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2350 W Shaw Ave Ste 142
Fresno, CA 93711-3412

Mailing address

2350 W Shaw Ave Ste 142
Fresno, CA 93711-3412
Phone (559) 447-3333

Other names 1

  • Central California Adoption Services - Infant of Prague Doing business as

National Provider Directory

National Provider Directory

Locations

2350 W Shaw Ave
Ste 142
Fresno, CA 93711
Phone (559) 447-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1356905517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W SHAW AVE STE 142",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113412",
            "telephone_number": "559-447-3333",
            "fax_number": "559-447-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W SHAW AVE STE 142",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113412",
            "telephone_number": "559-447-3333",
            "fax_number": "559-447-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFANT OF PRAGUE ADOPTION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-447-3333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central California Adoption Services - Infant of Prague",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.