NPIMap

Organization Active NPI

Contra Costa Youth Service Bureau

  • Community/Behavioral Health Agency
  • Richmond, CA
National Provider Identifier
1619558228
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONTRA COSTA YOUTH SERVICE BUREAU
Practice address
84 Broadway
Richmond, CA 94804-1910
Phone
(510) 231-7812
Fax
(510) 231-7810
NPI assigned
Apr 15, 2021
Organization subpart
Yes
Parent organization
CONTRA COSTA YOUTH SERVICE BUREAUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mildred Naima Walls-Johnson, LMFTNPI 1518019777
Title
Clinical Manager of Operations
Phone
(510) 825-7994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

84 Broadway
Richmond, CA 94804-1910

Mailing address

186 Broadway
Richmond, CA 94804-1949
Phone (510) 215-4670

National Provider Directory

National Provider Directory
Tax ID family
Contra Costa Youth Service Bureau2 organizations share this tax ID, including this one
Part of
Contra Costa Youth Service Bureau

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

84 Broadway
Richmond, CA 94804
Phone (510) 231-7812

186 Broadway
Richmond, CA 94804
Phone (510) 367-6350

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1619558228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BROADWAY",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041949",
            "telephone_number": "510-215-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BROADWAY",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041910",
            "telephone_number": "510-231-7812",
            "fax_number": "510-231-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA YOUTH SERVICE BUREAU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTRA COSTA YOUTH SERVICE BUREAU",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "WALLS-JOHNSON",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "NAIMA",
        "authorized_official_title_or_position": "CLINICAL MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "510-825-7994",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.