| Vitalize Behavioral Health And Psychometrics Inc. | |
|
7265 N 1st St Ste 103 Fresno CA 93720-2956 | |
| (559) 492-1560 | |
| (559) 234-0641 |
| Full Name | Vitalize Behavioral Health And Psychometrics Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7265 N 1st St Ste 103, Fresno, California |
| Authorized Official Name and Position | Jonathon David Baird (PRESIDENT/CEO) |
| Authorized Official Contact | 5598018944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalize Behavioral Health And Psychometrics Inc. 13264 E Saginaw Way Sanger CA 93657-9347 Ph: () - | Vitalize Behavioral Health And Psychometrics Inc. 7265 N 1st St Ste 103 Fresno CA 93720-2956 Ph: (559) 492-1560 |
| NPI Number | 1386246197 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 8729490701 |
|---|---|
| Medicare Enrollment ID | O20201216000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386246197 | NPI | - | NPPES |
| Provider Name | Kristin Olivia Tristao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508409202 PECOS PAC ID: 9830501485 Enrollment ID: I20201223002337 |
| Provider Name | Jonathon David Baird |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568009561 PECOS PAC ID: 9638581614 Enrollment ID: I20210104000375 |
| Provider Name | Heather Zeldin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902362924 PECOS PAC ID: 5890183537 Enrollment ID: I20211028001964 |
| Provider Name | Alexander M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568108744 PECOS PAC ID: 8729466321 Enrollment ID: I20220610001391 |
| Provider Name | Vanessa Neves-armour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891097838 PECOS PAC ID: 4688050719 Enrollment ID: I20220927003363 |
| Provider Name | Stacey Ann Cavanaugh Cervantes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922290733 PECOS PAC ID: 7719330158 Enrollment ID: I20240201001005 |
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