YOUTH FOR CHANGE (NPI# 1811506058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811506058 |
| Entity Type | Organization |
| Organization Name | YOUTH FOR CHANGE |
| Other Organization Name | YFC COHASSET SPECIALTY SERVICES |
| Practice Address |
260 Cohasset Rd Chico CA 95926-2282 |
| Practice Telephone | 5308778187 |
| Practice Fax Number | 5308945791 |
| Mailing Telephone | 5308778187 |
| Mailing Fax Number | 5308945791 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | ROSEMARY LISA KELLY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5308945933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cal Park Specialty Services | Doing Business As Name - Organization |
| CalPark Specialty Services | Doing Business As Name - Organization |
| YFC Cohasset Specialty Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144784315 | Youth for Change | Clinic/Center | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-01-22 |
| 1184124539 | Youth for Change | Clinic/Center | 1128 Yuba St, Marysville, CA 95901-4831 | 2018-02-12 |
| 1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
| 1356748297 | Youth for Change | Clinic/Center | 2854 Olive Hwy Ste B&c, Oroville, CA 95966-6112 | 2014-11-20 |
| 1841453438 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave Ste 104b&d, Chico, CA 95926 | 2008-07-03 |
| 1013453802 | Youth for Change | Clinic/Center | 6083 Maxwell Dr, Paradise, CA 95969-4025 | 2017-01-17 |
| 1033660642 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave, Suite 206, Chico, CA 95926-1851 | 2016-10-18 |
| 1477856862 | Youth for Change | Clinic/Center | 578 Rio Lindo Ave Ste 3, Chico, CA 95926-1800 | 2010-12-07 |
| 1811159668 | Youth for Change | Clinic/Center | 130 W 6th St, Chico, CA 95928-5508 | 2008-07-01 |
| 1003953027 | Youth for Change | Clinic/Center | 7200 Skyway, Paradise, CA 95969-3280 | 2007-01-31 |
| Street Address |
260 COHASSET RD |
| City | CHICO |
| State | CA |
| Zip Code | 95926-2282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891727889 | Michael Norman Hernandez | Physical Therapist | 260 Cohasset Rd, Suite 185, Chico, CA 95926-2210 | 2006-07-07 |
| 1013378918 | Linda Hill | Registered Nurse | 260 Cohasset Rd, Chico, CA 95926-2282 | 2016-03-19 |
| 1497178875 | Hillary Erwin | Counselor | 260 Cohasset Rd, Suite 130, Chico, CA 95926-2282 | 2014-01-21 |
| 1194984427 | Richard Sterling Ogden | Licensed Psychiatric Technician | 260 Cohasset Rd, Chico, CA 95926-2282 | 2008-06-02 |
| 1720012693 | Steven Patrick Snider | Physical Therapist | 260 Cohasset Rd, Suite 185, Chico, CA 95926-2210 | 2006-07-10 |
| 1083646483 | Chico Physical Therapy Associates Inc | Physical Therapist | 260 Cohasset Rd, Suite 185, Chico, CA 95926-2210 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497390280 | Environmental Alternatives | Clinic/Center | 756 East Ave, Chico, CA 95926-1209 | 2019-11-15 |
| 1144784315 | Youth for Change | Clinic/Center | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-01-22 |
| 1841453438 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave Ste 104b&d, Chico, CA 95926 | 2008-07-03 |
| 1033660642 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave, Suite 206, Chico, CA 95926-1851 | 2016-10-18 |
| 1477856862 | Youth for Change | Clinic/Center | 578 Rio Lindo Ave Ste 3, Chico, CA 95926-1800 | 2010-12-07 |
| 1811159668 | Youth for Change | Clinic/Center | 130 W 6th St, Chico, CA 95928-5508 | 2008-07-01 |
| 1619194438 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-20 |
| 1528285343 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-20 |
| 1326265141 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-20 |
| 1942427281 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-19 |
| Find all providers in CHICO | ||||
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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.