NPIMap

Organization Active NPI

Sierra Meadows Behavioral Health

  • Adult Mental Health Clinic/Center
  • Fresno, CA
National Provider Identifier
1891260576
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SIERRA MEADOWS BEHAVIORAL HEALTH
Practice address
1781 E Fir Ave Ste 102
Fresno, CA 93720-3865
Phone
(559) 326-7775
NPI assigned
Oct 9, 2018
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Matthew Thomas TatumNPI 1366672313
Title
Authorized Official
Phone
(559) 593-9801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

1781 E Fir Ave Ste 102
Fresno, CA 93720-3865

Mailing address

1781 E Fir Ave Ste 102
Fresno, CA 93720-3865

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2222017Sierra Meadows Behavioral Health1781 E Fir Ave Suite 102, Fresno, CA 93720Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sierra Meadows Behavioral Health7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1891260576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 E FIR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 E FIR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203865",
            "telephone_number": "559-326-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MEADOWS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "559-593-9801"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 19, 2022; 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.

Verify at the official NPI Registry.