NPIMap

Organization Active NPI

Youth Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
National Provider Identifier
1588042170
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YOUTH WELLNESS CENTER
Practice address
3147 N Millbrook Ave
Fresno, CA 93703-1425
Phone
(559) 600-6784
Fax
(559) 600-7710
NPI assigned
May 14, 2015
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Mrs. Dawan Utecht
Title
Director
Phone
(559) 600-9193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3147 N Millbrook Ave
Fresno, CA 93703-1425

Mailing address

3147 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-6784

National Provider Directory

National Provider Directory
Tax ID family
Fresno County Youth Link115 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1588042170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031425",
            "telephone_number": "559-600-6784",
            "fax_number": "559-600-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031425",
            "telephone_number": "559-600-6784",
            "fax_number": "559-600-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "UTECHT",
        "authorized_official_first_name": "DAWAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-600-9193",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.