NPIMap

Organization Active NPI

Youth for Change

  • Adolescent and Children Mental Health Clinic/Center
  • Yuba City, CA
National Provider Identifier
1124538681
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
YOUTH FOR CHANGE
Practice address
1525 Plumas Court
Suites C & D
Yuba City, CA 95991
Phone
(530) 894-5933
Fax
(530) 894-5791
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Rosemary Lisa Kelly
Title
Authorized Official
Phone
(530) 894-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1525 Plumas Court
Suites C & D
Yuba City, CA 95991

Mailing address

578 Rio Lindo Ave Ste 3
Chico, CA 95926-1800
Phone (530) 894-5933

National Provider Directory

National Provider Directory
Tax ID family
Youth for Change6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

578 Rio Lindo Ave
Ste 3
Chico, CA 95926
Phone (530) 891-4255

1525 Plumas Ct
Ste C
Yuba City, CA 95991
Phone (530) 671-4980

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1124538681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 RIO LINDO AVE STE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261800",
            "telephone_number": "530-894-5933",
            "fax_number": "530-894-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 PLUMAS COURT",
            "address_2": "SUITES C & D",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-894-5933",
            "fax_number": "530-894-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "530-894-5933"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.