NPIMap

Organization Active NPI

Violet Heintz Education Academy

  • Adolescent and Children Mental Health Clinic/Center
  • Fresno, CA
National Provider Identifier
1518095488
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
VIOLET HEINTZ EDUCATION ACADEMY
Practice address
4939 E Yale Ave
Fresno, CA 93727
Phone
(559) 443-4850
NPI assigned
Mar 1, 2007
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF FRESNOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dawan Utecht
Title
Direc Dep Beh Health
Phone
(559) 600-6895

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 000001091 CA
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

4939 E Yale Ave
Fresno, CA 93727

Mailing address

3133 N Millbrook
Fresno, CA 93703-1425
Phone (559) 453-8918

Other identifiers 2

IdentifierTypeStateIssuer
000001091MedicaidCA
2415OtherCOST CENTER

National Provider Directory

National Provider Directory
Tax ID family
Fresno County Youth Link115 organizations share this tax ID, including this one
Part of
Fresno County Youth Link

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4939 E Yale Ave
Fresno, CA 93727
Phone (559) 443-4820

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1518095488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 N MILLBROOK",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031425",
            "telephone_number": "559-453-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 E YALE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93727",
            "telephone_number": "559-443-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLET HEINTZ EDUCATION ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF FRESNO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "UTECHT",
        "authorized_official_first_name": "DAWAN",
        "authorized_official_title_or_position": "DIREC DEP BEH HEALTH",
        "authorized_official_telephone_number": "559-600-6895"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "000001091",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001091",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COST CENTER",
            "identifier": "2415",
            "state": null
        }
    ],
    "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 Sep 5, 2013; 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.