Organization Active NPI

Western Youth Services

  • Community/Behavioral Health Agency
  • Anaheim, CA
National Provider Identifier
1619378403
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
60581 Issued in CA
Legal business name
WESTERN YOUTH SERVICES
Practice address
2900 E Lincoln Ave Apt 116
Anaheim, CA 92806-4045
Phone
(714) 883-1333
NPI assigned
Sep 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Miss Jessica G Saldivar, LCSW
Title
Licensed Clinical Social Worker
Phone
(714) 883-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 60581 CA Primary

Addresses

Primary practice location

2900 E Lincoln Ave Apt 116
Anaheim, CA 92806-4045

Mailing address

2900 E. Lincoln Ave Apt 116
Anaheim, CA 92653
Phone (949) 855-1556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1619378403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E. LINCOLN AVE APT 116",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-855-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E LINCOLN AVE APT 116",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064045",
            "telephone_number": "714-883-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "SALDIVAR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "714-883-1333",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "60581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.