NPIMap

Organization Active NPI

Fwdiop Inc

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1962184036
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FWDIOP INC
Practice address
2880 E Fremont Ave
Fresno, CA 93710-4809
Phone
(559) 355-0089
Fax
(559) 575-8176
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Shaun Tucker
Title
Program Director
Phone
(559) 355-0089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2880 E Fremont Ave
Fresno, CA 93710-4809

Mailing address

1111 E Herndon Ave Ste 211
Fresno, CA 93720-3100
Phone (559) 355-0089

National Provider Directory

National Provider Directory
Tax ID family
Forward Mental Health2 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.

  • Fwdiop Inc

    dba Forward Mental Health

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Clovis, CA
    • NPI 1164179610
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 4

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": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1962184036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E HERNDON AVE STE 211",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203100",
            "telephone_number": "559-355-0089",
            "fax_number": "559-575-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 E FREMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104809",
            "telephone_number": "559-355-0089",
            "fax_number": "559-575-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FWDIOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "559-355-0089"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "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 Aug 7, 2023; 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.