Organization Active NPI

A Mind Above, a Professional Psychology Corporation

Doing business as A Mind Above

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
National Provider Identifier
1669039327
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
A MIND ABOVE, A PROFESSIONAL PSYCHOLOGY CORPORATION
Doing business as
A Mind Above
Practice address
1300 E Shaw Ave Ste 109
Fresno, CA 93710-7903
Phone
(559) 712-8800
Fax
(559) 712-8505
NPI assigned
May 28, 2019
Last updated
Nov 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Tina Emmerich
Title
Ceo
Phone
(559) 240-6550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1300 E Shaw Ave Ste 109
Fresno, CA 93710-7903

Mailing address

1300 E Shaw Ave Ste 109
Fresno, CA 93710-7903
Phone (559) 712-8800

Other practice location 1

334 Shaw Ave Ste 100
Clovis, CA 93612-3839
Phone (559) 712-8500

Other practice location 2

1300 E Shaw Ave Ste 171
Fresno, CA 93710-7911
Phone (559) 712-8330

Other names 1

  • A Mind Above Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200207000219 CA Part B Supplier - Clinic/Group Practice 1759717978 Receives reassigned benefits from 7 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

334 Shaw Ave
Ste 100
Clovis, CA 93612
Phone (559) 712-8500

1300 E Shaw Ave
Ste 109
Fresno, CA 93710
Phone (559) 712-8500

1300 E Shaw Ave
Ste 171
Fresno, CA 93710
Phone (559) 313-1398

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1669039327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E SHAW AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107903",
            "telephone_number": "559-712-8800",
            "fax_number": "559-712-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E SHAW AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107903",
            "telephone_number": "559-712-8800",
            "fax_number": "559-712-8505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Shaw Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936123839",
            "country_code": "US",
            "telephone_number": "559-712-8500",
            "fax_number": "559-712-8505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 E Shaw Ave Ste 171",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937107911",
            "country_code": "US",
            "telephone_number": "559-712-8330",
            "fax_number": "559-712-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A MIND ABOVE, A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "EMMERICH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-240-6550"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Mind Above",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Mind Above",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.