NPIMap

Organization Active NPI

California Mental Health

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1750770293
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
14302 Issued in CA
Legal business name
CALIFORNIA MENTAL HEALTH
Practice address
4736 N Vagedes Ave
Fresno, CA 93705-0618
Phone
(559) 512-0339
NPI assigned
Jan 22, 2015
Organization subpart
Yes
Parent organization
WILLIAM MCVICKER, CALIFORNIA MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Andrew McVicker
Title
Owner
Phone
(559) 512-0339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 14302 CA Primary

Addresses

Primary practice location

4736 N Vagedes Ave
Fresno, CA 93705-0618

Mailing address

13810 Climbing Way
Nevada City, CA 95959-9649
Phone (530) 273-1112

National Provider Directory

National Provider Directory
Tax ID family
California Mental Health7 organizations share this tax ID, including this one
Part of
California Mental Health

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1750770293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 CLIMBING WAY",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599649",
            "telephone_number": "530-273-1112",
            "fax_number": "530-273-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 N VAGEDES AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050618",
            "telephone_number": "559-512-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM MCVICKER, CALIFORNIA MENTAL HEALTH",
        "enumeration_date": "2015-01-22",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "MCVICKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-512-0339"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "14302",
            "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 Feb 11, 2019; 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.