NPIMap

Organization Active NPI

Community Options for Families and Youth, Inc

  • Community/Behavioral Health Agency
  • Pittsburg, CA
National Provider Identifier
1265947923
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY OPTIONS FOR FAMILIES AND YOUTH, INC
Practice address
1131 Stoneman Ave
Pittsburg, CA 94565-5466
Phone
(925) 473-4480
NPI assigned
Dec 4, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
David BergesenNPI 1700945201
Title
Executive Director
Phone
(925) 943-1794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1131 Stoneman Ave
Pittsburg, CA 94565-5466

Mailing address

3478 Buskirk Ave Ste 260
Pleasant Hill, CA 94523-4358
Phone (925) 943-1794

Other practice location 1

1131 Stoneman Ave Rm 18
Pittsburg, CA 94565-5466
Phone (925) 473-4480

Other names 1

  • Black Diamond COUNSELING ENRICHED CLASSROOMS Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Options for Families and Youth Inc6 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

1131 Stoneman Ave
Pittsburg, CA 94565
Phone (925) 473-2510

1131 Stoneman Ave
Rm 18
Pittsburg, CA 94565
Phone (925) 473-4480

Practitioners & affiliated clinicians

Practitioners 1

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": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1265947923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE STE 260",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234358",
            "telephone_number": "925-943-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 STONEMAN AVE",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655466",
            "telephone_number": "925-473-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 Stoneman Ave Rm 18",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "CA",
            "postal_code": "945655466",
            "country_code": "US",
            "telephone_number": "925-473-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY OPTIONS FOR FAMILIES AND YOUTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BERGESEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-943-1794"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Diamond COUNSELING ENRICHED CLASSROOMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.