NPIMap

Organization Active NPI

Guiding Our Youth

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Simi Valley, CA
National Provider Identifier
1497336432
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
GUIDING OUR YOUTH
Practice address
1672 Casarin Ave
Simi Valley, CA 93065-4515
Phone
(805) 522-4891
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Maral Pushian Sultanian, PHD, LMFTNPI 1811025323
Title
Head of Service
Phone
(805) 296-8677

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
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1672 Casarin Ave
Simi Valley, CA 93065-4515

Mailing address

1197 E Los Angeles Ave # C-338
Simi Valley, CA 93065-2868
Phone (818) 395-0892

National Provider Directory

National Provider Directory
Tax ID family
Guiding Our Youth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1197 E Los Angeles Ave
#C338
Simi Valley, CA 93065

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1497336432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 E LOS ANGELES AVE # C-338",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652868",
            "telephone_number": "818-395-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 CASARIN AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654515",
            "telephone_number": "805-522-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING OUR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "SULTANIAN",
        "authorized_official_first_name": "MARAL",
        "authorized_official_middle_name": "PUSHIAN",
        "authorized_official_title_or_position": "HEAD OF SERVICE",
        "authorized_official_telephone_number": "805-296-8677",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.