NPIMap

Organization Active NPI

Community Research Foundation Inc

Doing business as Douglas Young Youth and Family Services

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1689897100
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37H5 Issued in CA
Legal business name
COMMUNITY RESEARCH FOUNDATION INC
Doing business as
Douglas Young Youth and Family Services
Practice address
7917 Ostrow St Ste a
San Diego, CA 92111-3604
Phone
(858) 300-8282
Fax
(858) 300-8284
NPI assigned
Apr 11, 2007
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Mr. Bob Marchetti
Title
Cfo
Phone
(619) 275-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37H5 CA Primary

Addresses

Primary practice location

7917 Ostrow St Ste a
San Diego, CA 92111-3604

Mailing address

7917 Ostrow St Ste a
San Diego, CA 92111-3604
Phone (858) 300-8282

Other identifiers 1

IdentifierTypeStateIssuer
37H5MedicaidCA

Other names 1

  • Douglas Young Youth and Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Research FDTN41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

7907 Ostrow St
Ste F
San Diego, CA 92111
Phone (858) 300-8282

7917 Ostrow St
Ste A
San Diego, CA 92111
Phone (858) 300-8282

Practitioners & affiliated clinicians

Practitioners 167

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.

View all 167

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1689897100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 OSTROW ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113604",
            "telephone_number": "858-300-8282",
            "fax_number": "858-300-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7917 OSTROW ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113604",
            "telephone_number": "858-300-8282",
            "fax_number": "858-300-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESEARCH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-275-0822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "37H5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37H5",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Young Youth and Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Douglas Young Youth and Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 2021; 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.