NPIMap

Organization Active NPI

Youth for Change

Doing business as Oroville Specialty Services Center

  • Adolescent and Children Mental Health Clinic/Center
  • Oroville, CA
National Provider Identifier
1356748297
Registry record updated Feb 13, 2020
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
Doing business as
Oroville Specialty Services Center
Practice address
2854 Olive Hwy Ste B&C
Oroville, CA 95966-6112
Phone
(530) 894-5933
Fax
(530) 894-5791
NPI assigned
Nov 20, 2014
Organization subpart
Yes
Parent organization
YOUTH FOR CHANGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Rosemary Lisa Kelly
Title
Npi Contact
Phone
(530) 894-5933

Specialties & licenses 1

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

Addresses

Primary practice location

2854 Olive Hwy Ste B&C
Oroville, CA 95966-6112

Mailing address

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

Other practice location 1

2856 Olive Hwy
Suite A, B,& C
Oroville, CA 95966-6120
Phone (530) 894-5933 ext. 10

Other names 1

  • Oroville Specialty Services Center Doing business as

National Provider Directory

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

Other organizations with this tax ID 5

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

Locations

2856 Olive Hwy
Ste A
Oroville, CA 95966
Phone 5308945933 ext. 10

2854 Olive Hwy
Ste Bc
Oroville, CA 95966

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1356748297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 RIO LINDO AVE",
            "address_2": "SUITE 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": "2854 OLIVE HWY STE B&C",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666112",
            "telephone_number": "530-894-5933",
            "fax_number": "530-894-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2856 Olive Hwy",
            "address_2": "Suite A, B,& C",
            "address_purpose": "LOCATION",
            "city": "Oroville",
            "state": "CA",
            "postal_code": "959666120",
            "country_code": "US",
            "telephone_number": "530-894-5933 x10",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUTH FOR CHANGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUTH FOR CHANGE",
        "enumeration_date": "2014-11-20",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "NPI CONTACT",
        "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": [
        {
            "organization_name": "Oroville Specialty Services Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oroville Specialty Services Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.