FRED FINCH YOUTH CENTER (NPI# 1063723427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063723427 |
| Entity Type | Organization |
| Organization Name | FRED FINCH YOUTH CENTER |
| Other Organization Name | FRED FINCH YOUTH CENTER-POLINSKY |
| Practice Address |
9400 Ruffin Ct San Diego CA 92123-5300 |
| Mailing Address |
3800 Coolidge Ave Oakland CA 94602-3311 |
| Practice Telephone | 6198734075 |
| Practice Fax Number | 6196212268 |
| Mailing Telephone | 5104822244 |
| Mailing Fax Number | 5104881960 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | MR. THOMAS N ALEXANDER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5104822244 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Fred Finch Youth Center-Polinsky | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
| 1174077838 | Fred Finch Youth Center | Counselor | 2409 E 27th St, Oakland, CA 94601-1303 | 2016-08-11 |
| 1275986739 | Fred Finch Youth Center | Counselor | 23515 Maud Ave, Hayward, CA 94541-4519 | 2016-07-20 |
| 1174976633 | Fred Finch Youth Center | Counselor | 2184 Thayer Ave, Hayward, CA 94545-2925 | 2016-07-20 |
| 1114370665 | Fred Finch Youth Center | Counselor | 26268 Flamingo Ave, Hayward, CA 94544-3159 | 2016-07-20 |
| 1285083113 | Fred Finch Youth Center | Counselor | 755 Oak Grove Rd, Concord, CA 94518-2801 | 2016-06-10 |
| 1922484674 | Fred Finch Youth Center | Counselor | 351 Marina Rd, Bay Point, CA 94565-1320 | 2015-08-05 |
| 1659757300 | Fred Finch Youth Center | Counselor | 2217 Chalomar Rd, Concord, CA 94518-2504 | 2015-08-05 |
| 1912383662 | Fred Finch Youth Center | Counselor | 4200 Concord Blvd, Concord, CA 94521-1059 | 2015-08-05 |
| 1447636154 | Fred Finch Youth Center | Counselor | 181 Viking Dr, Pleasant Hill, CA 94523-1808 | 2015-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FRED FINCH YOUTH CENTER | 3800 Coolidge Ave, Oakland, CA 94602-3311 |
| Street Address |
9400 RUFFIN CT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396847299 | Joan Sandra Gildin | Psychiatry & Neurology | 9400 Ruffin Ct, B, San Diego, CA 92123-5300 | 2006-09-01 |
| 1497361026 | Laura Anett Jimenez | Case Manager/Care Coordinator | 9400 Ruffin Ct, San Diego, CA 92123-5399 | 2020-09-18 |
| 1770104382 | Shaun Michael Higley | Marriage & Family Therapist | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2020-05-05 |
| 1841822350 | Jazmin Andrea Zavala | Case Manager/Care Coordinator | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2020-02-12 |
| 1679124267 | Katherine Winstead | Case Manager/Care Coordinator | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-09-25 |
| 1497309991 | Tanya Zazueta | Case Manager/Care Coordinator | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-08-01 |
| 1851943765 | Nancy Cooper | Registered Nurse | 9400 Ruffin Ct, San Diego, CA 92123-5399 | 2019-07-10 |
| 1639630577 | Mayra Rodriguez | Counselor | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-03-25 |
| 1598225948 | Ashley Lizbeth Lopez | Counselor | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-03-21 |
| 1205390820 | Stephanie Soto | Counselor | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
| Find all providers in SAN DIEGO | ||||
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| 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.