PROMESA BEHAVIORAL HEALTH NPI 1154591121

NPI Information

  • NPI: 1154591121
  • Provider Name: PROMESA BEHAVIORAL HEALTH
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • :
  • Address: 7120 N MARKS AVE # 110
    FRESNO, CA
    ZIP 93711
  • Phone: (559) 439-5437

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NPI Details

PROMESA BEHAVIORAL HEALTH is a community behavioral health in Fresno, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PROMESA BEHAVIORAL HEALTH NPI is 1154591121. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

7120 N MARKS AVE # 110
FRESNO, CA
ZIP 93711
Phone: (559) 439-5437
Fax: (559) 439-5411

The provider's authorized official is Amanda Irene Reed .
The authorized official title is Director and has the following contact phone number (559) 341-2394.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 2/6/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2251S00000XCommunity/Behavioral Health100043ANCALIFORNIAYes
3261QR0405XClinic/CenterRehabilitation, Substance Use Disorder1044CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101044MEDICAIDCALIFORNIA
21044MEDICAIDCALIFORNIA

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: 3/30/2025

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