Organization Active NPI

Carol Montgomery Brosnac, LMFT

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
National Provider Identifier
1730445032
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MFC 51190 Issued in CA
Legal business name
CAROL MONTGOMERY BROSNAC, LMFT
Practice address
5637 N Figarden Dr
Suite #116
Fresno, CA 93722-3580
Phone
(559) 999-8948
Fax
(888) 534-1695
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Mrs. Carol M Montgomery Brosnac, MA
Title
Psychotherapist/Owner
Phone
(559) 999-8948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MFC 51190 CA Primary

Addresses

Primary practice location

5637 N Figarden Dr
Suite #116
Fresno, CA 93722-3580

Mailing address

5637 N Figarden Dr
Suite #116
Fresno, CA 93722-3580
Phone (559) 999-8948

National Provider Directory

National Provider Directory

Locations

5637 N Figarden Dr
Ste 116
Fresno, CA 93722
Phone (559) 999-8948

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1730445032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 N FIGARDEN DR",
            "address_2": "SUITE #116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223580",
            "telephone_number": "559-999-8948",
            "fax_number": "888-534-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 N FIGARDEN DR",
            "address_2": "SUITE #116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223580",
            "telephone_number": "559-999-8948",
            "fax_number": "888-534-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL MONTGOMERY BROSNAC, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY BROSNAC",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "559-999-8948",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "MFC 51190",
            "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 Apr 11, 2012; 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.