Organization Active NPI

Center for Youth Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • Soquel, CA
National Provider Identifier
1679322267
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CENTER FOR YOUTH MENTAL HEALTH
Practice address
4630 Soquel Dr Ste 10
Soquel, CA 95073-3101
Phone
(831) 239-2015
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Lorraine Kay Butterworth, MED, MA PSYD (C)NPI 1316791486
Title
Co-Founder
Phone
(831) 239-2015

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4630 Soquel Dr Ste 10
Soquel, CA 95073-3101

Mailing address

4630 Soquel Dr Ste 10
Soquel, CA 95073-3101
Phone (831) 239-2015

Other practice location 1

3231 S Higuera St
San Luis Obispo, CA 93401-6924
Phone (805) 996-0535

Other names 1

  • Center for Child and Adolescent Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

4630 Soquel Dr
Ste 10
Soquel, CA 95073
Phone (831) 222-0052

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1679322267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 SOQUEL DR STE 10",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950733101",
            "telephone_number": "831-239-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 SOQUEL DR STE 10",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950733101",
            "telephone_number": "831-239-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 S Higuera St",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934016924",
            "country_code": "US",
            "telephone_number": "805-996-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR YOUTH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "BUTTERWORTH",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "831-239-2015",
        "authorized_official_credential": "MED, MA PSYD (C)"
    },
    "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": "Center for Child and Adolescent Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.