PROMESA BEHAVIORAL HEALTH NPI 1386942316

NPI Information

  • NPI: 1386942316
  • Provider Name: PROMESA BEHAVIORAL HEALTH
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 211 SMOOT AVE
    MENDOTA, CA
    ZIP 93640
  • Phone: (559) 655-4471

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NPI Details

PROMESA BEHAVIORAL HEALTH is a community behavioral health in Mendota, 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 1386942316. The provider is registered as an organization entity type.

The provider's business location address is:

211 SMOOT AVE
MENDOTA, CA
ZIP 93640-234
Phone: (559) 655-4471
Fax: (559) 655-3226

The provider's authorized official is Lisa Weigant .
The authorized official title is Ceo and has the following contact phone number (559) 439-5437.

The enumeration date for this NPI number is 2/28/2011 and was last updated on 2/28/2011.

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
1251S00000XCommunity/Behavioral Health101044CALIFORNIAYes

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

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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