DALY CITY YOUTH HEALTH CENTER


Address: 2780 Junipero Serra Blvd, Daly City, CA 94015-1634
Phone: 6509857000

DALY CITY YOUTH HEALTH CENTER (NPI# 1053540195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053540195
Entity Type Organization
Organization Name DALY CITY YOUTH HEALTH CENTER
Practice Address 2780 Junipero Serra Blvd
Daly City
CA 94015-1634
Practice Telephone 6509857000
Mailing Telephone 6509857000
Enumeration Date 2009-07-10
Last Update Date 2009-07-10
Authorized Official Name MR. ERIC MITCHELL STULLMAN (MFTI)
Authorized Official Telephone 6505507678
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 58560 CA Agencies

Office Location

Street Address 2780 JUNIPERO SERRA BLVD
City DALY CITY
State CA
Zip Code 94015-1634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245276716 County of San Mateo Clinic/Center 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2006-06-21
1700305752 Kristy Lynn Wisnia Student in an Organized Health Care Education/Training Program 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2017-09-11
1598213779 Ana Caroline Leon Williams Marriage & Family Therapist 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2016-09-15
1306394507 Alicia Corwin Student in an Organized Health Care Education/Training Program 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2016-09-15
1194193946 Natalie Chan Counselor 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2015-09-10
1306214143 Rubi Esmeralda Gutierrez Counselor 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2015-09-10
1942678784 Stephanie Balon Wong Counselor 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2015-09-10
1306234612 Jose Feria Marriage & Family Therapist 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2015-01-08
1629470406 Jennifer Bloomer Counselor 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2014-09-23
1184026494 Jessica Brenner Counselor 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 2014-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881235901 Fast Express Ride Inc Non-emergency Medical Transport (VAN) 381 Westlake Ctr # 292, Daly City, CA 94015 2019-09-30
1598231888 National Vision Inc Technician/Technologist 148a Serramonte Center, Daly City, CA 94015 2018-10-15
1174017313 Glaiza Cecilia S Canares Student in an Organized Health Care Education/Training Program 255 Dennis Drive, Daly City, CA 94015 2018-06-20
1154869477 Noah Bautista Massage Therapist 151 87th St Suite 4, Daly City, CA 94015 2017-02-07
1417387291 Accuquest Hearing Centers Clinic/Center 10 Park Plaza Dr., Daly City, CA 94015 2013-11-15
1801193800 Carol Crane Physical Therapy Assistant 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 2011-02-28
1366753808 Emerito Cesar C Nunag Physical Therapy Assistant 595 Clarinada Avenue #2, Daly City, CA 94015 2010-06-30
1356668016 Lauren Rose Hendrick Marriage & Family Therapist 355 Gellert Blvd Suite 280, Daly City, CA 94015 2010-04-21
1205061868 Isabel A. Walsh General Practice 783 Skyline Dr., Daly City, CA 94015 2009-05-26
1790933539 Frank Geoffrey Yeh Dentist 1440 Southgate Ave., Daly City, CA 94015 2008-09-05
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053367854 County of San Mateo Community/Behavioral Health 375 89th St, Daly City, CA 94015-1802 2006-05-25
1013439942 Starvista Community/Behavioral Health 333 Gellert Blvd Ste 206, Daly City, CA 94015-2659 2017-07-12
1861709768 Katherine Ann Roberts Community/Behavioral Health 333 Gellert Blvd, Suite 206, Daly City, CA 94015-2621 2010-09-13
1104994185 Healthright 360 Community/Behavioral Health 6181 Mission St, Daly City, CA 94014-2002 2006-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740881861 Griselda Tuchan Pineda Marriage and Family Therapist Inc Community/Behavioral Health 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 2020-11-04
1013518687 Turning Point of Central California, Inc. Community/Behavioral Health 3636 N 1st St Ste 112, Fresno, CA 93726-6818 2020-11-02
1588264113 Licensed Clinical Social Worker Community Alliance PC Community/Behavioral Health 301 S 23rd St, Richmond, CA 94804-2807 2020-11-01
1134729718 Cynthia Felicia Delaney Community/Behavioral Health 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 2020-10-31
1114527637 Clarke-lauren Stevenson Richard Community/Behavioral Health 1277 E Loma Linda Ave, Fresno, CA 93720-2668 2020-10-26
1891395232 Jacqulyn Danielle Rios Community/Behavioral Health 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 2020-10-26
1346849213 Greystone Behavioral Health Nursing Inc Community/Behavioral Health 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 2020-10-22
1376142216 Melissa Reyes Aguilar Community/Behavioral Health 2248 S Cochran Ave, Los Angeles, CA 90016-1218 2020-10-21
1578162616 Bayfront Healthcare Services Community/Behavioral Health 2703 N Studebaker Rd, Long Beach, CA 90815-1628 2020-10-20
1326647686 Sierra Child & Family Services Community/Behavioral Health 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 2020-10-19
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Competitor

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City DALY CITY
Zip Code 94015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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