Healthcare Provider Details

I. General information

NPI: 1720706864
Provider Name (Legal Business Name): MAXWELL JEFFREY FINDLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3688 E SHIELDS AVE
FRESNO CA
93726-6922
US

IV. Provider business mailing address

3688 E SHIELDS AVE
FRESNO CA
93726-6922
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-0850
  • Fax: 559-455-4632
Mailing address:
  • Phone: 559-600-9180
  • Fax: 559-455-4632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: