Organization Active NPI

Youth Justice Institute

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1609122423
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC 49717 Issued in CA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.