FIELDS COMP. YOUTH SERVICES, INC. (NPI# 1881146421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881146421 |
| Entity Type | Organization |
| Organization Name | FIELDS COMP. YOUTH SERVICES, INC. |
| Practice Address |
1214 Eddington St Upland CA 91786-3440 |
| Mailing Address |
8780 19th St Suite 196 Alta Loma CA 91701-4608 |
| Practice Telephone | 9096081991 |
| Practice Fax Number | 9094664815 |
| Mailing Telephone | 9099451318 |
| Mailing Fax Number | 9094664815 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | MR. ARBY ENRICO FIELDS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9099451318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 366407025 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| FIELDS COMPREHENSIVE YOUTH SERVICES INC | Other Name - Individual/Organization |
| FIELDS COMPREHENSIVE YOUTH SERVICES, INC. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346791803 | Fields Comp. Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7062 Napa Ave, Alta Loma, CA 91701-5431 | 2016-10-20 |
| Street Address |
1214 EDDINGTON ST |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497931711 | Myesha Nicole Dunn | Marriage & Family Therapist | 1214 Eddington St, Upland, CA 91786-3440 | 2008-01-16 |
| 1720601446 | Anyssia Johnson | Marriage & Family Therapist | 1214 Eddington St, Upland, CA 91786-3440 | 2020-05-28 |
| 1740803600 | Dana Wogahn | Social Worker | 1214 Eddington St, Upland, CA 91786-3440 | 2020-05-26 |
| 1366088122 | Marcus Daerious Gitchuway | Case Manager/Care Coordinator | 1214 Eddington St, Upland, CA 91786-3440 | 2019-11-26 |
| 1598306631 | Ana Margarita Rodriguez | Case Manager/Care Coordinator | 1214 Eddington St, Upland, CA 91786-3440 | 2019-09-30 |
| 1518428861 | A'ryann Johnson | Case Manager/Care Coordinator | 1214 Eddington St, Upland, CA 91786-3440 | 2019-03-28 |
| 1962983536 | Nyshae Perkins | Marriage & Family Therapist | 1214 Eddington St, Upland, CA 91786-3440 | 2018-08-22 |
| 1992971220 | Lester R Jones Jr. | Social Worker | 1214 Eddington St, Upland, CA 91786-3440 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345193 | Fields Comp. Youth Services Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1214 Eddington Street, Upland, CA 91786-3440 | 2020-01-15 |
| 1679009203 | Children's Hope Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 1106 W 22nd St, Upland, CA 91784-1231 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
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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.