Fresno State University Health and Psychological Serviceds

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

N/A Issued in NU

Legal business name

FRESNO STATE UNIVERSITY HEALTH AND PSYCHOLOGICAL SERVICEDS

Practice address

University Health and Psychological Services
5044 North Barton Avenue M/S HC81
Fresno, CA 93740-0001

Phone

(559) 278-6715

Fax

(559) 278-5409

NPI assigned

Dec 4, 2007

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

CALIFORNIA STATE UNIVERSITY FRESNOAs reported in NPPES

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

Authorized official

Name

Mr. Dirk Martin Ruthrauff, MBA

Title

Associate Director

Phone

(559) 278-6717

Specialties & licenses 1

Addresses

Tax ID family

Student Health Service Pharmacy2 organizations share this tax ID, including this one

Part of

Student Health Service Pharmacy

Other organizations with this tax ID 1

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

• Student Health Service Pharmacy

  • Clinic Pharmacy
  • Fresno, CA
  • NPI 1093922957
  NPD tax ID

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1790967453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY HEALTH AND PSYCHOLOGICAL SERVICES",
            "address_2": "5044 NORTH BARTON AVENUE M/S HC81",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937400001",
            "telephone_number": "559-278-6715",
            "fax_number": "559-278-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY HEALTH AND PSYCHOLOGICAL SERVICES",
            "address_2": "5044 NORTH BARTON AVENUE M/S HC81",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937400001",
            "telephone_number": "559-278-6715",
            "fax_number": "559-278-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO STATE UNIVERSITY HEALTH AND PSYCHOLOGICAL SERVICEDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA STATE UNIVERSITY FRESNO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "RUTHRAUFF",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "559-278-6717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresno Sleep-Wake Disorder Center of California, Inc. (Sleep/Wake Disorders Center Fresno)
• Fresno Snoring and Sleep Therapy
• Fresno Specialized Spine & Physical Therapy, Inc. (Specialized Physical Therapy)
• Fresno Specialty Surgery Center PC
• Fresno Spine and Sport
• Fresno Surgery Center LP
• Fresno Unified School District Dept. of Health Services
• Fresno VA
• Fresno Valley SNF, LLC (Orchard Post Acute)
• Fresno Vamc

• Student Health Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Student Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.