NPIMap

Organization Active NPI

Yccc

  • Community/Behavioral Health Agency
  • Woodland, CA
National Provider Identifier
1124310057
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
D7290386 Issued in CA
Legal business name
YCCC
Practice address
584 Kentucky Ave
Woodland, CA 95695-2779
Phone
(530) 661-3213
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Kacy Goulart
Title
Administrator
Phone
(530) 758-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X D7290386 CA Primary

Addresses

Primary practice location

584 Kentucky Ave
Woodland, CA 95695-2779

Mailing address

584 Kentucky Ave
Woodland, CA 95695-2779
Phone (530) 661-3213

Other names 1

  • Safe HArbor Other name

National Provider Directory

National Provider Directory
Tax ID family
Yolo Community Care Continuum8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1124310057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 KENTUCKY AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952779",
            "telephone_number": "530-661-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 KENTUCKY AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952779",
            "telephone_number": "530-661-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YCCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "GOULART",
        "authorized_official_first_name": "KACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-758-2160"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "D7290386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe HArbor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.