SAN DIEGO YOUTH SERVICES (NPI# 1235149667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235149667 |
Entity Type | Organization |
Organization Name | SAN DIEGO YOUTH SERVICES |
Other Organization Name | SDYS AGENCY |
Practice Address |
3255 Wing St San Diego CA 92110-4638 |
Practice Telephone | 6192218600 |
Practice Fax Number | 6192218611 |
Mailing Telephone | 6192218601 |
Mailing Fax Number | 6192218611 |
Enumeration Date | 2006-08-08 |
Last Update Date | 2013-04-04 |
Authorized Official Name | WALTER PHILIPS (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6192218601 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | Agencies |
Other Name | Type Code |
---|---|
SDYS Agency | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629379581 | San Diego Youth Services | Case Management | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2010-11-09 |
1134367337 | San Diego Youth Services | Voluntary or Charitable | 3151 Redwood St, San Diego, CA 92104-4615 | 2009-01-26 |
1558548669 | San Diego Youth Services | Foster Care Agency | 3255 Wing St Ste 500, San Diego, CA 92110-4642 | 2008-01-31 |
1366651366 | San Diego Youth Services | Community/Behavioral Health | 2250 4th Avenue, Suite 301, San Diego, CA 92101 | 2007-05-22 |
1558495002 | San Diego Youth Services | Voluntary or Charitable | 1870 Cordell Ct, El Cajon, CA 92020-0914 | 2007-03-15 |
1184119430 | San Diego Youth Services | Community/Behavioral Health | 7364 El Cajon Blvd, San Diego, CA 92115-1864 | 2018-06-28 |
1720509409 | San Diego Youth Services | Community/Behavioral Health | 3427 4th Ave, San Diego, CA 92103-4910 | 2017-07-03 |
1689195398 | San Diego Youth Services | Community/Behavioral Health | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2017-07-03 |
1477891257 | San Diego Youth Services | Case Manager/Care Coordinator | 3151 Redwood St, San Diego, CA 92104-4615 | 2013-01-29 |
1952608465 | San Diego Youth Services | Voluntary or Charitable | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2011-02-17 |
Street Address |
3255 WING ST |
City | SAN DIEGO |
State | CA |
Zip Code | 92110-4638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396359956 | Alexandra Evans | Case Manager/Care Coordinator | 3255 Wing St, San Diego, CA 92110-4638 | 2020-09-01 |
1215548946 | Kyle Marlow | Marriage & Family Therapist | 3255 Wing St, San Diego, CA 92110-4638 | 2020-08-15 |
1548883440 | Marcia Kay Jones | Counselor | 3255 Wing St, San Diego, CA 92110-4638 | 2020-05-26 |
1023645645 | Maria Marlene Aguinada | Marriage & Family Therapist | 3255 Wing St, San Diego, CA 92110-4638 | 2020-03-24 |
1124586813 | Andrea Kamille Conanan | Counselor | 3255 Wing St, San Diego, CA 92110-4638 | 2019-03-12 |
1518430578 | Marlene Nevarez | Counselor | 3255 Wing St, San Diego, CA 92110-4638 | 2019-01-02 |
1447720297 | Daniela Ortiz | Counselor | 3255 Wing St, San Diego, CA 92110-4638 | 2018-12-04 |
1013487081 | Mario Lavay Harris | Counselor | 3255 Wing St, San Diego, CA 92110-4638 | 2018-12-03 |
1407326861 | Claudia Nemeth | Counselor | 3255 Wing St, San Diego, CA 92110-4638 | 2018-11-28 |
1760959878 | Helen Taylor | Counselor | 3255 Wing St, San Diego, CA 92110-4638 | 2018-10-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
Find all providers in zip 92110 |
Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467927855 | Priscilla Hebert | Voluntary or Charitable | 1488 Sunset Cliffs Blvd, San Diego, CA 92107-3848 | 2018-10-11 |
1184073710 | Health Education Advocacy Leadership | Voluntary or Charitable | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2016-06-04 |
1023465739 | Employment & Community Options | Voluntary or Charitable | 9370 Sky Park Ct, Ste. 210, San Diego, CA 92123-5301 | 2016-05-23 |
1154613925 | Bojorquez Medical Billing Mgmt Inc | Voluntary or Charitable | 3655 31st St, San Diego, CA 92104-4203 | 2011-05-11 |
1134367337 | San Diego Youth Services | Voluntary or Charitable | 3151 Redwood St, San Diego, CA 92104-4615 | 2009-01-26 |
1770708596 | San Diego Center for The Blind | Voluntary or Charitable | 5922 El Cajon Blvd, San Diego, CA 92115-3826 | 2007-04-16 |
1851414304 | Institute for Public Strategies | Voluntary or Charitable | 409 Camino Del Rio S, Suite 305, San Diego, CA 92108-3504 | 2007-04-09 |
1760477467 | Jewish Family Service of San Diego | Voluntary or Charitable | 8804 Balboa Ave, San Diego, CA 92123-1506 | 2005-09-19 |
1780247155 | M. Johnson Dental Corporation | Voluntary or Charitable | 3023 Bunker Hill St Ste 105, San Diego, CA 92109-5706 | 2019-04-21 |
1427445618 | Community Allies for Psychological Empowerment | Voluntary or Charitable | 2202 Comstock St, Attn: Cape, San Diego, CA 92111-6502 | 2015-04-25 |
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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.