Organization Active NPI

Fresno City College

  • Cognitive & Behavioral Psychologist
  • Fresno, CA
National Provider Identifier
1669633293
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
FRESNO CITY COLLEGE
Practice address
1101 E University Ave
Fresno, CA 93704-6219
Phone
(559) 442-4600
Fax
(559) 442-4601
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Brian Olowude
Title
Supervisor
Phone
(559) 442-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

1101 E University Ave
Fresno, CA 93704-6219

Mailing address

1101 E University Ave
Fresno, CA 93704-6219

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0868752Fresno City College Health Services1101 East University Avenue, Fresno, CA 93704Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1101 E University Ave
Fresno, CA 93704
Phone (559) 442-4600

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1669633293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E UNIVERSITY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937046219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E UNIVERSITY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937046219",
            "telephone_number": "559-442-4600",
            "fax_number": "559-442-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO CITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "OLOWUDE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "559-442-4600"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "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 Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.