NEW DIRECTIONS FOR YOUNG ADULTS - CALIFORNIA (NPI# 1700290962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700290962 |
| Entity Type | Organization |
| Organization Name | NEW DIRECTIONS FOR YOUNG ADULTS - CALIFORNIA |
| Other Organization Name | NDFYA-CA |
| Practice Address |
100 Longbrook Way Ste. 20 Pleasant Hill CA 94523 |
| Mailing Address |
3275 W. Hillsboro Blvd Ste. 110 Deerfield Beach FL 33442 |
| Practice Telephone | 8777635102 |
| Practice Fax Number | 9545715265 |
| Mailing Telephone | (954) 571-5102 |
| Mailing Fax Number | 9545715265 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | DR. ANDREW SETH RUBIN (CEO) |
| Authorized Official Telephone | 9547787808 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PSY 15497 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| NDFYA-CA | Other Name - Individual/Organization |
| Street Address |
100 LONGBROOK WAY STE. 20 |
| City | PLEASANT HILL |
| State | CA |
| Zip Code | 94523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306212782 | Shawna Antoinette Puma | Counselor | 100 Longbrook Way, Suite 20, Pleasant Hill, CA 94523 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881110823 | Paola M Portillo | Counselor | 3480 Buskirk Dr, St 210, Plesant Hill, CA 94523 | 2017-08-22 |
| 1508309113 | Seven Bridges Speech Pathology Inc | Speech-Language Pathologist | 140 Gregory Lane, Suite 280, Pleasant Hill, CA 94523 | 2016-11-30 |
| 1669856761 | Mikelle Waite Millward | Speech-Language Pathologist | 111 Cleaveland Rd Apt 102, Pleasant Hill, CA 94523 | 2015-07-17 |
| 1568870186 | Travel Well Corporation | Preventive Medicine | 3478 Buskirk Ave, Suite 1042, Pleasant Hill, CA 94523 | 2014-07-28 |
| 1396161014 | Contra Costa Pathology Associates | Pathology | 399 Taylor Blvd Sw 200, Pleasant Hill, CA 94523 | 2014-03-06 |
| 1760822993 | Jessica Taylor Ysunza | Counselor | 267 Evelyn Drive, Pleasant Hill, CA 94523 | 2013-07-02 |
| 1558618306 | Kristina Foster Wunderman | Counselor | 272 Appalachian Dr, Pleasant Hill, CA 94523 | 2012-08-11 |
| 1376810028 | Patricia Murillo | Counselor | One Santa Barbara Rd, Pleasant Hill, CA 94523 | 2011-11-23 |
| 1265709257 | Marla Jaye Murray | Counselor | 315 Oakvue Lane, Pleasant Hill, CA 94523 | 2011-11-19 |
| 1356631121 | Katherine Hardt Winter | Family Medicine | 401 Gregory Ln Ste 104, Pleasant Hill, CA 94523 | 2011-04-14 |
| Find all providers in zip 94523 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003476359 | Samuel Doong | Psychologist | 2514 Piedmont Ave Apt 105, Berkeley, CA 94704-3108 | 2019-06-18 |
| 1437634482 | New Horizons: Serving Individuals With Special Needs | Psychologist | 19031 Arminta Street, Reseda, CA 91335-1104 | 2018-09-26 |
| 1679086417 | B & D Assessment and Consulting Services, Inc. | Psychologist | 26565 West Agoura Rd Ste 200, Calabasas, CA 91302-1990 | 2017-11-15 |
| 1235593690 | Wayne Kilthau | Psychologist | 5301 Gerine Blossom Dr, San Jose, CA 95123-2118 | 2016-04-11 |
| 1588024103 | Kristin Bria | Psychologist | 150 Glen Cove Marina Rd E, Vallejo, CA 94591-7292 | 2016-02-24 |
| 1477921450 | Haleigh Scott | Psychologist | 3626 Fair Oaks Blvd Ste 100, Sacramento, CA 95864-7200 | 2015-09-09 |
| 1235543265 | Verbal Behavior Associates | Psychologist | 15373 Innovation Dr., Suite 200, San Diego, CA 92128 | 2014-06-18 |
| 1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
| 1548501323 | Independent Consulting Services | Psychologist | 124 Whispering Oaks Dr, Glendora, CA 91741-3988 | 2013-03-05 |
| 1770802696 | Michael D Peters | Psychologist | 5814 La Salle Ave, Oakland, CA 94611-3210 | 2010-05-18 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT HILL |
| Zip Code | 94523 |
Please comment or provide details below to improve the information on NEW DIRECTIONS FOR YOUNG ADULTS - CALIFORNIA.
| 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.