NPIMap

Organization Active NPI

Vitalize Behavioral Health and Psychometrics Inc.

  • Adult Mental Health Clinic/Center
  • Fresno, CA
National Provider Identifier
1386246197
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
VITALIZE BEHAVIORAL HEALTH AND PSYCHOMETRICS INC.
Practice address
7265 N 1St St Ste 103
Fresno, CA 93720-2956
Phone
(559) 492-1560
Fax
(559) 234-0641
NPI assigned
Nov 16, 2020
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Jonathon David Baird, PSYDNPI 1568009561
Title
President/Ceo
Phone
(559) 801-8944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

7265 N 1St St Ste 103
Fresno, CA 93720-2956

Mailing address

13264 E Saginaw Way
Sanger, CA 93657-9347

Other practice location 1

1100 W Shaw Ave Ste 112
Fresno, CA 93711-3708
Phone (559) 801-8944

National Provider Directory

National Provider Directory

Locations

1100 W Shaw Ave
Ste 112
Fresno, CA 93711
Phone (559) 221-8874

Practitioners & affiliated clinicians

Practitioners 9

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": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1386246197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13264 E SAGINAW WAY",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936579347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7265 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202956",
            "telephone_number": "559-492-1560",
            "fax_number": "559-234-0641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Shaw Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113708",
            "country_code": "US",
            "telephone_number": "559-801-8944",
            "fax_number": "559-234-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALIZE BEHAVIORAL HEALTH AND PSYCHOMETRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "559-801-8944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.