Organization Active NPI

Youth Service Bureau of the YMCA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South San Francisco, CA
National Provider Identifier
1235712837
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YOUTH SERVICE BUREAU OF THE YMCA
Practice address
1486 Huntington Ave Ste 100
South San Francisco, CA 94080-5971
Phone
(650) 877-8642
NPI assigned
Apr 30, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Christina Hoepke
Title
Director of Operations
Phone
(650) 877-8642

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

1486 Huntington Ave Ste 100
South San Francisco, CA 94080-5971

Mailing address

1486 Huntington Ave Ste 100
South San Francisco, CA 94080-5971
Phone (650) 877-8642

National Provider Directory

National Provider Directory

Locations

1486 Huntington Ave
Ste 100
South San Francisco, CA 94080
Phone (650) 276-4101

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1235712837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 HUNTINGTON AVE STE 100",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805971",
            "telephone_number": "650-877-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 HUNTINGTON AVE STE 100",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805971",
            "telephone_number": "650-877-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICE BUREAU OF THE YMCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "HOEPKE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "650-877-8642"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.