NPIMap

Organization Active NPI

Fred Finch Youth Center

  • Clinical Social Worker
  • Lemon Grove, CA
National Provider Identifier
1164925368
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FRED FINCH YOUTH CENTER
Practice address
8001 Palm St
Lemon Grove, CA 91945-3026
Phone
(619) 797-1090
Fax
(619) 797-1091
NPI assigned
Mar 14, 2018
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Mr. Thomas N. Alexander, LCSW
Title
President and Ceo
Phone
(510) 482-2244

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Psychologist 103T00000X
Clinical Psychologist 103TC0700X
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

8001 Palm St
Lemon Grove, CA 91945-3026

Mailing address

3800 Coolidge Ave
Oakland, CA 94602-3311
Phone (510) 482-2244

Other names 1

  • Fred Finch Youth Center-SD DD-STRTP Other name

National Provider Directory

National Provider Directory
Tax ID family
Fred Finch Youth Ctr58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

8001 Palm St
Lemon Grove, CA 91945
Phone (619) 258-4012

3800 Coolidge Ave
Oakland, CA 94602

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1164925368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 COOLIDGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023311",
            "telephone_number": "510-482-2244",
            "fax_number": "510-488-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 PALM ST",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919453026",
            "telephone_number": "619-797-1090",
            "fax_number": "619-797-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED FINCH YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "510-482-2244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred Finch Youth Center-SD DD-STRTP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.