Organization Active NPI

YMCA of San Diego County

  • Adult Mental Health Clinic/Center
  • San Diego, CA
National Provider Identifier
1639449655
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
YMCA OF SAN DIEGO COUNTY
Practice address
4451 30TH St
San Diego, CA 92116-4232
Phone
(619) 281-8313
Fax
(619) 281-8324
NPI assigned
Jan 6, 2012
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Katherine Elizabeth Demmler, LCSW
Title
Associate Executive Director
Phone
(619) 281-8313

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

4451 30TH St
San Diego, CA 92116-4232

Mailing address

4451 30TH St
San Diego, CA 92116-4232
Phone (619) 281-8313

National Provider Directory

National Provider Directory
Tax ID family
YMCA of San Diego County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4080 Centre St
Ste 103
San Diego, CA 92103
Phone (619) 543-9850

4451 30th St
San Diego, CA 92116
Phone (619) 281-8313

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1639449655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164232",
            "telephone_number": "619-281-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164232",
            "telephone_number": "619-281-8313",
            "fax_number": "619-281-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF SAN DIEGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "DEMMLER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-281-8313",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.