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Organization Active NPI

Fresno County Adolescent Day Treatment (Adt- Edt)

  • Adolescent and Children Mental Health Clinic/Center
  • Fresno, CA
National Provider Identifier
1740318484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
FRESNO COUNTY ADOLESCENT DAY TREATMENT (ADT- EDT)
Practice address
3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone
(559) 453-8918
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Donna Sue Taylor, R,.N.
Title
Interim Deputy Director
Phone
(559) 453-5798

Specialties & licenses 1

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

Addresses

Primary practice location

3133 N Millbrook Ave
Fresno, CA 93703-1425

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2240OtherCOST CENTER

National Provider Directory

National Provider Directory
Tax ID family
Sierra Foothills HLTH C115 organizations share this tax ID, including this one

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

3133 N Millbrook Ave
Fresno, CA 93703
Phone (559) 453-8405

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740318484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 N MILLBROOK AVE",
            "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": "3133 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031425",
            "telephone_number": "559-453-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO COUNTY ADOLESCENT DAY TREATMENT (ADT- EDT)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "INTERIM DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "559-453-5798",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R,.N."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COST CENTER",
            "identifier": "2240",
            "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 Aug 22, 2020; 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.