NPIMap

Organization Active NPI

Child Guidance Center, Inc.

  • Community/Behavioral Health Agency
  • Santa Ana, CA
National Provider Identifier
1033238944
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
910-1912-5 Issued in CA
Legal business name
CHILD GUIDANCE CENTER, INC.
Practice address
600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552
Phone
(714) 953-4455
Fax
(714) 547-8855
NPI assigned
Mar 29, 2007
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Lori Pack, LCSWNPI 1538229299
Title
Executive Director
Phone
(714) 953-4455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 910-1912-5 CA Primary

Addresses

Primary practice location

600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552

Mailing address

600 W Santa Ana Blvd Ste 205
Santa Ana, CA 92701-4542
Phone (714) 953-4455

Other identifiers 1

IdentifierTypeStateIssuer
910-1912-5OtherCASTATE ID

Other names 1

  • CYS Child Guidance Center, Inc., East Other name

National Provider Directory

National Provider Directory
Tax ID family
Child Guidance Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

525 Cabrillo Park Dr
Ste 300
Santa Ana, CA 92701
Phone (714) 871-9264

600 W Santa Ana Blvd
Ste 205
Santa Ana, CA 92701

600 W Santa Ana Blvd
Ste 600
Santa Ana, CA 92701
Phone (714) 871-9264

Practitioners & affiliated clinicians

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 74

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1033238944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 205",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014542",
            "telephone_number": "714-953-4455",
            "fax_number": "714-547-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 600",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014552",
            "telephone_number": "714-953-4455",
            "fax_number": "714-547-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD GUIDANCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-953-4455",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "910-1912-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "910-1912-5",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYS Child Guidance Center, Inc., East",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CYS Child Guidance Center, Inc., East",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.