NPIMap

Organization Active NPI

Promesa Behavioral Health

Doing business as Promesa Behavioral Health- Van Ness

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1902130487
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PROMESA BEHAVIORAL HEALTH
Doing business as
Promesa Behavioral Health- Van Ness
Practice address
1027 N Van Ness Ave
Fresno, CA 93728
Phone
(559) 439-5437
Fax
(559) 439-5411
NPI assigned
Sep 30, 2009
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Amanda Irene Reed, LMFTNPI 1588838783
Title
Director
Phone
(559) 439-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

1027 N Van Ness Ave
Fresno, CA 93728

Mailing address

7120 N Marks Ave Ste 110
Fresno, CA 93711-0268
Phone (559) 439-5437

Other names 1

  • Promesa Behavioral Health- Van Ness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promesa Behavioral Health-Enhanced Isfc39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1902130487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 N MARKS AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110268",
            "telephone_number": "559-439-5437",
            "fax_number": "559-439-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 N VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93728",
            "telephone_number": "559-439-5437",
            "fax_number": "559-439-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMESA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-439-5437",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promesa Behavioral Health- Van Ness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 5, 2024; 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.