NPIMap

Organization Active NPI

Contra Costa Youth Service Bureau

  • Community/Behavioral Health Agency
  • Richmond, CA
National Provider Identifier
1487718409
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONTRA COSTA YOUTH SERVICE BUREAU
Practice address
84 Broadway
Richmond, CA 94804-1910
Phone
(510) 231-7812
Fax
(510) 231-7812
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mildred Naima Walls-Johnson, LMFTNPI 1518019777
Title
Clinical Manager of Operations
Phone
(510) 825-7994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

84 Broadway
Richmond, CA 94804-1910

Mailing address

186 Broadway
Richmond, CA 94804-1949
Phone (510) 215-4670

Other identifiers 1

IdentifierTypeStateIssuer
01919506MedicaidCA

Other names 1

  • WEST CONTRA COSTA YOUTH SERVICE BUREAU Former legal business name

National Provider Directory

National Provider Directory

Locations

263 S 20th St
Richmond, CA 94804
Phone (510) 262-6551

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1487718409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BROADWAY",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041949",
            "telephone_number": "510-215-4670",
            "fax_number": "510-215-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BROADWAY",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041910",
            "telephone_number": "510-231-7812",
            "fax_number": "510-231-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA YOUTH SERVICE BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "WALLS-JOHNSON",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "NAIMA",
        "authorized_official_title_or_position": "CLINICAL MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "510-825-7994",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01919506",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST CONTRA COSTA YOUTH SERVICE BUREAU",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.