NPIMap

Organization Active NPI

Community Options for Families and Youth

  • Community/Behavioral Health Agency
  • Pittsburg, CA
National Provider Identifier
1669986477
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY OPTIONS FOR FAMILIES AND YOUTH
Practice address
1750 Harbor St
Pittsburg, CA 94565-4615
Phone
(925) 473-2390
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
David Bergesen, LMFT
Title
Executive Director
Phone
(925) 943-1794

Specialties & licenses 1

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

Addresses

Primary practice location

1750 Harbor St
Pittsburg, CA 94565-4615

Mailing address

3478 Buskirk Ave Ste 260
Pleasant Hill, CA 94523-4358

Other practice location 1

1750 Harbor St Rm B204
Pittsburg, CA 94565-4615
Phone (925) 473-2390

Other names 2

  • COUNSELING ENRICHED CLASSROOMS Other name
  • Pittsburg High CEC Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Options for Families and Youth Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1750 Harbor St
Rm B204
Pittsburg, CA 94565
Phone (925) 473-2390

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1669986477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE STE 260",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 HARBOR ST",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654615",
            "telephone_number": "925-473-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Harbor St Rm B204",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "CA",
            "postal_code": "945654615",
            "country_code": "US",
            "telephone_number": "925-473-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY OPTIONS FOR FAMILIES AND YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BERGESEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-943-1794",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNSELING ENRICHED CLASSROOMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pittsburg High CEC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.