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PRIME MENTAL HEALTH CENTER NPI 1386097491


NPI Information

NPI: 1386097491
Provider Name: PRIME MENTAL HEALTH CENTER

Doing Business As: PRIME MENTAL HEALTH CENTER

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1410 KERN ST
FRESNO, CA
ZIP 93706
Phone: (559) 417-1795
Get Directions

PRIME MENTAL HEALTH CENTER is a clinical social worker in Fresno, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. PRIME MENTAL HEALTH CENTER NPI is 1386097491. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prime Mental Health Center.

The provider's business location address is:

1410 KERN ST
FRESNO, CA
ZIP 93706-322
Phone: (559) 417-1795

The provider's authorized official is Lance Zimmerman .
The authorized official title is Ceo and has the following contact phone number (559) 393-7465.

The enumeration date for this NPI number is 7/14/2016 and was last updated on 3/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY27555CALIFORNIANo
2103TP0016XPsychologistPrescribing (Medical)A33871CALIFORNIANo
31041C0700XSocial WorkerClinicalASW 73111CALIFORNIANo
41041C0700XSocial WorkerClinical25653CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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