Organization Active NPI

Judy Craig

  • Adult Mental Health Clinic/Center
  • Yorba Linda, CA
National Provider Identifier
1538970926
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JUDY CRAIG
Practice address
16960 Bastanchury Rd Ste E
Yorba Linda, CA 92886-1711
Phone
(714) 696-1177
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Judy Craig, LCSWNPI 1073711289
Title
Practice Owner
Phone
(917) 821-7809

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

16960 Bastanchury Rd Ste E
Yorba Linda, CA 92886-1711

Mailing address

16960 Bastanchury Rd Ste E
Yorba Linda, CA 92886-1711
Phone (714) 696-1177

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1538970926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16960 BASTANCHURY RD STE E",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861711",
            "telephone_number": "714-696-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16960 BASTANCHURY RD STE E",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861711",
            "telephone_number": "714-696-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY CRAIG",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "917-821-7809",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.