NPIMap

Organization Active NPI

Stanford Youth Solutions

Doing business as Stanford Sierra Youth & Families

  • Adolescent and Children Mental Health Clinic/Center
  • Woodland, CA
National Provider Identifier
1437615994
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
STANFORD YOUTH SOLUTIONS
Doing business as
Stanford Sierra Youth & Families
Practice address
520 Cottonwood St Ste 14
Woodland, CA 95695-3603
Phone
(916) 344-0199
NPI assigned
Feb 20, 2019
Last updated
May 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Rebecca Ryness
Title
Payroll
Phone
(916) 344-0199

Specialties & licenses 1

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

Addresses

Primary practice location

520 Cottonwood St Ste 14
Woodland, CA 95695-3603

Mailing address

8912 Volunteer LN
Sacramento, CA 95826-3221

Other names 1

  • Stanford Sierra Youth & Families Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanford Sierra Youth Families8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

520 Cottonwood St
Ste 14
Woodland, CA 95695
Phone (530) 656-5080

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": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1437615994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 VOLUNTEER LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COTTONWOOD ST STE 14",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953603",
            "telephone_number": "916-344-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD YOUTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "RYNESS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PAYROLL",
        "authorized_official_telephone_number": "916-344-0199"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanford Sierra Youth & Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.