Sacramento Youth Center

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

SACRAMENTO YOUTH CENTER

Practice address

1901 Del Paso Blvd
Sacramento, CA 95815-3020

Phone

(916) 248-1081

NPI assigned

Mar 19, 2022

Organization subpart

No

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

Authorized official

Name

Raquel Shipp

Title

Executive Director

Phone

(916) 248-1081

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1356090203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DEL PASO BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153020",
            "telephone_number": "916-248-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 DEL PASO BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153020",
            "telephone_number": "916-248-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-19",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "SHIPP",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-248-1081"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacramento Valley Pediatric Medical Group Inc.
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• Sacramento Valley Psychiatry
• Sacramento Van Conversions, Inc.
• Sacramento Wellness Center
• Sacrx Corporation
• Sacsolano Anesthesia Exchange Medical Group, Inc
• Sacto Pharmacy
• Sacvans Mobility, Inc.
• Fereshta Sadat

• Peer Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.