NPIMap

Organization Active NPI

Sierra Meadows Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Clovis, CA
National Provider Identifier
1467291583
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SIERRA MEADOWS BEHAVIORAL HEALTH
Practice address
8104 E Bullard Ave
Clovis, CA 93619-8012
Phone
(559) 326-7775
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SIERRA MEADOWS BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. Matthew Thomas TatumNPI 1366672313
Title
Ceo
Phone
(559) 326-7775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

8104 E Bullard Ave
Clovis, CA 93619-8012

Mailing address

1781 E Fir Ave Ste 102
Fresno, CA 93720-3865
Phone (559) 326-7775

National Provider Directory

National Provider Directory
Tax ID family
Sierra Meadows Behavioral Health7 organizations share this tax ID, including this one
Part of
Sierra Meadows Behavioral Health

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1467291583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 E FIR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203865",
            "telephone_number": "559-326-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 E BULLARD AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198012",
            "telephone_number": "559-326-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MEADOWS BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA MEADOWS BEHAVIORAL HEALTH",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-326-7775",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.