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SPENCER TAYLOR RUDOMINER
NPI 1730723412
Counselor in Fresno, CA

Active since November 05, 2019
3433 W SHAW AVE # 107, FRESNO, CA 93711(559) 476-2115 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2019, Nov 5, 2019 (2 updates tracked since 2019).

About Spencer Taylor Rudominer NPPES

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

SPENCER TAYLOR RUDOMINER (NPI 1730723412) is an individual counselor in Fresno, California and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1730723412
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSPENCER TAYLOR RUDOMINER
Location Address3433 W SHAW AVE # 107Fresno, CA 93711-3229
Mailing Address3433 W Shaw Ave Ste 102Fresno, CA 93711-3229 · (559) 558-4051
Phone(559) 476-2115
Sole ProprietorNo
Enumeration DateNovember 5, 2019
Last NPPES UpdateDecember 4, 20192 updates tracked since enumeration
✔ NPI 1730723412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3433 W SHAW AVE # 107, Fresno, CA 93711
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Other Providers at the Same Location NPPES 20

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

MAGARITA GARIBAY MALDONADO
Social Worker
3433 W SHAW AVE # 107
FRESNO, CA 93711
Fresno County (559) 360-5236
REBECCA J ROBERTS
Counselor
3433 W SHAW AVE # 107
FRESNO, CA 93711
Fresno County (559) 476-2115
ROSARIO ROSALES SANCHEZ
Day Training/Habilitation Specialist
3433 W SHAW AVE # 107
FRESNO, CA 93711
Fresno County (559) 476-2115
REBECKA DANIELLE DAVIS
Case Manager/Care Coordinator
3433 W SHAW AVE # 107
FRESNO, CA 93711
Fresno County (559) 476-2115
PETER LEE
Counselor
3433 W SHAW AVE # 107
FRESNO, CA 93711
Fresno County (559) 476-2115
POOLED CAROLINA TCHANG
Community Health Worker
3433 W SHAW AVE # 107
FRESNO, CA 93711
Fresno County (559) 476-2115
ALMA LIDIA GARCIA
Rehabilitation Practitioner
3433 W SHAW AVE # 107
FRESNO, CA 93711
Fresno County (559) 476-2115
LESLIE EBONY MONTES BSW
Day Training/Habilitation Specialist
3433 W SHAW AVE # 107
FRESNO, CA 93711
Fresno County (559) 374-3990

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 Spencer Rudominer's NPI number?

The NPI number for Spencer Rudominer is 1730723412. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Spencer Rudominer located?

Spencer Rudominer practices at 3433 W Shaw Ave # 107, Fresno, CA 93711. The listed phone number is (559) 476-2115.

What is Spencer Rudominer's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Spencer Rudominer was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.