NPIMap

Organization Active NPI

Trinity Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Apple Valley, CA
National Provider Identifier
1114373883
Registry record updated Oct 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
TRINITY YOUTH SERVICES
Practice address
10755 Apple Valley Rd
Apple Valley, CA 92308-3684
Phone
(760) 247-9840
Fax
(760) 247-9810
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2017

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

Authorized official

Name
Mr. James R. Adams IV
Title
Director
Phone
(626) 444-0539

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X CA
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

10755 Apple Valley Rd
Apple Valley, CA 92308-3684

Mailing address

10755 Apple Valley Rd
Apple Valley, CA 92308-3684
Phone (760) 247-9840

Other names 1

  • Trinity Apple Valley Other name

National Provider Directory

National Provider Directory
Tax ID family
Trinity Apple Valley5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

10755 Apple Valley Rd
Apple Valley, CA 92308
Phone (760) 247-9840

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508025600000",
    "number": "1114373883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 APPLE VALLEY RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923083684",
            "telephone_number": "760-247-9840",
            "fax_number": "760-247-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 APPLE VALLEY RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923083684",
            "telephone_number": "760-247-9840",
            "fax_number": "760-247-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2017-10-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-444-0539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Apple Valley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; 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.