| A Mind Above | |
|
1300 E Shaw Ave Ste 109 Fresno CA 93710-7903 | |
| (559) 712-8800 | |
| (559) 712-8505 |
| Full Name | A Mind Above |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 E Shaw Ave Ste 109, Fresno, California |
| Authorized Official Name and Position | Tina Emmerich (CEO) |
| Authorized Official Contact | 5592406550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Mind Above 1300 E Shaw Ave Ste 109 Fresno CA 93710-7903 Ph: (559) 712-8800 | A Mind Above 1300 E Shaw Ave Ste 109 Fresno CA 93710-7903 Ph: (559) 712-8800 |
| NPI Number | 1669039327 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/02/2023 |
| Medicare PECOS PAC ID | 1759717978 |
|---|---|
| Medicare Enrollment ID | O20200207000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669039327 | NPI | - | NPPES |
| Provider Name | Elizabeth Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174584411 PECOS PAC ID: 5698051233 Enrollment ID: I20170413000672 |
| Provider Name | Darra Lyn Hirsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386071447 PECOS PAC ID: 2668808882 Enrollment ID: I20200207000267 |
| Provider Name | Sheila L Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689190159 PECOS PAC ID: 5890110704 Enrollment ID: I20200814002384 |
| Provider Name | Kendra F Price-davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932613569 PECOS PAC ID: 6901298488 Enrollment ID: I20220112001906 |
| Provider Name | Roberta Gordin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518458793 PECOS PAC ID: 4587056866 Enrollment ID: I20220118002247 |
| Provider Name | David J Tepperman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467877415 PECOS PAC ID: 3577957430 Enrollment ID: I20220218002022 |
| Provider Name | Erica L Walin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710673660 PECOS PAC ID: 4587012075 Enrollment ID: I20231121003725 |
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