Active NPI
Fresno City College
- Cognitive & Behavioral Psychologist
- Fresno, CA
National Provider Identifier
1669633293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0868752 | Fresno City College Health Services | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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
- Fresno Ca Endoscopy ASC, LP
- Fresno Ca Multi ASC, LP
- Fresno Care Holdings, LLC
- Fresno Center for New Americans
- Fresno Children'S Medical Group, Inc
- Fresno Co. Behavioral Health Dept.
- Fresno Collective for Inclusive Medicine Inc.
- Fresno Community Based Adult Service Center, LLC
- Fresno Community Health Improvement Partnership
- Fresno Community Home Health Care Inc
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.