THE LODGE
NPI 1184231508
Clinic/Center - Adult Mental Health in Fresno, CA

Active since September 29, 2020
1040 N PLEASANT AVENUE, FRESNO, CA 93728(559) 899-0888 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 21, 2022, Jun 9, 2021, Jun 1, 2021 and 2 more (5 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Adult Mental Health

About THE LODGE

This page provides the complete NPI Profile along with additional information for The Lodge, a provider established in Fresno, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1184231508 assigned on September 2020. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The Lodge operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is The Lodge. The authorized official of this NPI record is Kathryn Wilbur Lcsw (Executive Director)

NPI
1184231508 Verify this NPI
Provider Legal Name
RH COMMUNITY BUILDERS LP.
Other Organization Name
THE LODGE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1040 N PLEASANT AVENUE FRESNO, CA 93728
Location Phone
(559) 899-0888
Mailing Address
2550 W CLINTON AVE UNIT 142 FRESNO, CA 93705
Mailing Phone
(585) 314-3914
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2020
Last Update Date
03-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 
2251X00000XAgencies

Supports Brokerage

 
3385H00000XRespite Care Facility

Respite Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHRYN WILBUR LCSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(559) 492-1373

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184231508, enumerated as an "organization" on September 29, 2020.

The provider is located at 1040 N PLEASANT AVENUE FRESNO, CA 93728 and the phone number is (559) 899-0888.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.