Resources for Independence

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21346 Issued in CA

Legal business name

RESOURCES FOR INDEPENDENCE

Practice address

3636 N 1St St Ste 101
Fresno, CA 93726-6818

Phone

(559) 221-2330

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Tanesha Morris

Title

Program Manager

Phone

(559) 396-0560

Specialties & licenses 4

Addresses

Tax ID family

Resources for Independence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Resources for Independence

  • Case Management Agency
  • Fresno, CA
  • NPI 1285887489
  NPD tax ID

Locations

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1912430240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266818",
            "telephone_number": "559-221-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266818",
            "telephone_number": "559-221-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 E Oak Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915035",
            "country_code": "US",
            "telephone_number": "559-221-2330 x105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 W 18th St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953404629",
            "country_code": "US",
            "telephone_number": "559-221-2330 x105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESOURCES FOR INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TANESHA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "559-396-0560"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21346",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.