Prime Mental Health Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25653 Issued in CA

Legal business name

PRIME MENTAL HEALTH CENTER

Practice address

1410 Kern St
Fresno, CA 93706-3322

Phone

(559) 417-1795

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lance Zimmerman, PHDNPI 1104861152

Title

Ceo

Phone

(559) 393-7465

Specialties & licenses 4

Addresses

Other names 1

• Prime Mental Health Center Doing business as

Locations

Practitioners 1

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

• Lance Y Zimmerman, PHD

  • Clinical Psychologist
  • Visalia, CA
  • NPI 1104861152
  NPD (past) Authorized official

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1386097491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 N CHESTNUT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 KERN ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063322",
            "telephone_number": "559-417-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-393-7465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27555",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "CA",
            "license": "A33871",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25653",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 73111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primary Care Providers LLC
• Primary Healthcare Plus Medical Group Inc
• Prime Enterprise Alpha LLC
• Prime Medical Transport LLC
• Prime Medicine Partners Inc
• Prime Orbbit LLC
• Primecare Equipment LLC
• Primer Paso Institute, Inc
• Karl Emerson Primero, M.D.
• Amy Prince, MA-CCC, SLP, BCBA

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.