Organization Active NPI

CGR Connextions

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1477096279
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46110 Issued in CA
Legal business name
CGR CONNEXTIONS
Practice address
6276 N 1St St
Suite 105
Fresno, CA 93710-5400
Phone
(559) 355-8030
Fax
(559) 412-7564
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Mrs. Corine Gail Ross, LMFT
Title
Owner
Phone
(559) 355-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 46110 CA Primary

Addresses

Primary practice location

6276 N 1St St
Suite 105
Fresno, CA 93710-5400

Mailing address

6276 N 1St St
Suite 105
Fresno, CA 93710-5400
Phone (559) 355-8030

National Provider Directory

National Provider Directory

Locations

6276 N 1st St
Ste 105
Fresno, CA 93710
Phone (559) 355-8030

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": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1477096279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-355-8030",
            "fax_number": "559-412-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-355-8030",
            "fax_number": "559-412-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGR CONNEXTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CORINE",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-355-8030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46110",
            "primary": true
        }
    ],
    "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 Nov 28, 2016; 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.