VITALIZE A PROFESSIONAL PSYCHOLOGY CORPORATION
NPI 1215769104
Clinic/Center - Adult Mental Health in Fresno, CA

Active since August 19, 2024
155 E SHAW AVE STE 201, FRESNO, CA 93710(559) 492-1560(559) 234-0641 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitalize A Professional Psychology Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALIZE A PROFESSIONAL PSYCHOLOGY CORPORATION (NPI 1215769104) is a healthcare organization registered as an adult mental health in Fresno, California and active in the NPI registry since August 2024. The organization lists Jonathon Baird, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215769104
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameVITALIZE A PROFESSIONAL PSYCHOLOGY CORPORATION
Location Address155 E SHAW AVE STE 201Fresno, CA 93710-7619
Mailing Address155 E Shaw Ave Ste 201Fresno, CA 93710-7619 · (559) 492-1560 · Fax (559) 234-0641
Fax(559) 234-0641
Organization SubpartNo
Authorized OfficialJonathon BairdCeo · (559) 797-0116
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
NPI 1215769104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
155 E SHAW AVE STE 201, Fresno, CA 93710

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
155 E SHAW AVE STE 201
FRESNO, CA 93710
Psychologist (Clinical)
155 E SHAW AVE STE 201
FRESNO, CA 93710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitalize A Professional Psychology Corporation's NPI number?

The NPI number for Vitalize A Professional Psychology Corporation is 1215769104. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Vitalize A Professional Psychology Corporation located?

Vitalize A Professional Psychology Corporation is located at 155 E Shaw Ave Ste 201, Fresno, CA 93710. The listed phone number is (559) 492-1560.

What is Vitalize A Professional Psychology Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Vitalize A Professional Psychology Corporation was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.