Florence Griffith Joyner Youth Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LMFT83318 Issued in CA

Legal business name

FLORENCE GRIFFITH JOYNER YOUTH FOUNDATION

Practice address

3093 Central Ave
San Diego, CA 92105-4030

Phone

(619) 284-2443

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Tate, MA, LMFTNPI 1063694834

Title

Executive Director

Phone

(619) 284-2443

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Elizabeth V Tate

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1063694834
  NPD (past) Authorized official

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1598161325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 CENTRAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921054030",
            "telephone_number": "619-284-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3093 CENTRAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921054030",
            "telephone_number": "619-284-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE GRIFFITH JOYNER YOUTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-284-2443",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LMFT83318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon E Flood, RN
• Justine Dominique Yumul Flor
• Florabel F. Oliver-Badillo DMD, Inc.
• Florece ABA LLC
• Palmira Florecin, R.N. (REGISTERED NUR
• Bryna Elizabeth Florence, PHYSICIAN ASSISTANT
• Sara Paola Flores Martinez, LPCC 19428
• Karely Flores Ramirez
• Meredith Noemi Flores Romo
• Angelica Lizette Flores Salazar

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.