Organization Active NPI

Armed Services YMCA of the USA

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1093331464
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ARMED SERVICES YMCA OF THE USA
Practice address
3293 Santo Rd
San Diego, CA 92124-3340
Phone
(858) 751-5755
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Tim Ney
Title
Executive Director
Phone
(858) 751-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3293 Santo Rd
San Diego, CA 92124-3340

Mailing address

3293 Santo Rd
San Diego, CA 92124-3340
Phone (858) 751-5755

National Provider Directory

National Provider Directory

Locations

3293 Santo Rd
San Diego, CA 92124
Phone (858) 751-5755

14040 Central Loop
Ste B
Woodbridge, VA 22193

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1093331464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3293 SANTO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243340",
            "telephone_number": "858-751-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3293 SANTO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243340",
            "telephone_number": "858-751-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMED SERVICES YMCA OF THE USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "NEY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "858-751-5755"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.