NPIMap

Organization Active NPI

Waymakers

  • Adolescent and Children Mental Health Clinic/Center
  • Tustin, CA
National Provider Identifier
1629430335
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
WAYMAKERS
Practice address
14632 Yorba St
Suites B & C
Tustin, CA 92780-2554
Phone
(714) 714-0780
Fax
(714) 884-4309
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Ronnetta Johnson
Title
Executive Director
Phone
(949) 250-0488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

14632 Yorba St
Suites B & C
Tustin, CA 92780-2554

Mailing address

440 Exchange Ste 250
Irvine, CA 92602-1390
Phone (714) 714-0780

Other names 1

  • CYS Waymakers Children's Specialized Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cys Waymakers Children'S Specialized Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1221 E Dyer Rd
Ste 120
Santa Ana, CA 92705
Phone (714) 504-6021

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1629430335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 EXCHANGE STE 250",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021390",
            "telephone_number": "714-714-0780",
            "fax_number": "714-884-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14632 YORBA ST",
            "address_2": "SUITES B & C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802554",
            "telephone_number": "714-714-0780",
            "fax_number": "714-884-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYMAKERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONNETTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-250-0488"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYS Waymakers Children's Specialized Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.