Active NPI
Youth Justice Institute
- Community/Behavioral Health Agency
- San Francisco, CA
National Provider Identifier
1609122423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MFC 49717
- Legal business name
- YOUTH JUSTICE INSTITUTE
- Practice address
- 375 Woodside Ave
W2
San Francisco, CA 94127-1221 - Phone
- (415) 753-7662
- Fax
- (415) 753-7662
- NPI assigned
- Jul 30, 2012
- Last updated
- Jul 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gena Castro Rodriguez, LFMT
- Title
- Executive Director
- Phone
- (415) 753-7670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MFC 49717 | CA | Primary |
Addresses
Primary practice location
375 Woodside Ave
W2
San Francisco, CA 94127-1221
Mailing address
PO Box 31733
San Francisco, CA 94131-0733
Phone (415) 753-7662
National Provider Directory
National Provider DirectoryLocations
375 Woodside Ave
#W2
San Francisco, CA 94127
Phone (415) 753-7662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343606400000",
"number": "1609122423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31733",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941310733",
"telephone_number": "415-753-7662",
"fax_number": "415-753-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WOODSIDE AVE",
"address_2": "W2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271221",
"telephone_number": "415-753-7662",
"fax_number": "415-753-7662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH JUSTICE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-30",
"last_updated": "2012-07-30",
"status": "A",
"authorized_official_last_name": "CASTRO RODRIGUEZ",
"authorized_official_first_name": "GENA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "415-753-7670",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LFMT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "MFC 49717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.