NPIMap

Organization Active NPI

New Directions for Young Adults - California

  • Intellectual & Developmental Disabilities Psychologist
  • Pleasant Hill, CA
National Provider Identifier
1700290962
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
PSY 15497 Issued in CA
Legal business name
NEW DIRECTIONS FOR YOUNG ADULTS - CALIFORNIA
Practice address
100 Longbrook Way
Ste. 20
Pleasant Hill, CA 94523
Phone
(877) 763-5102
Fax
(954) 571-5265
NPI assigned
Jun 16, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Andrew Seth Rubin, PH.D.NPI 1306893607
Title
Ceo
Phone
(954) 778-7808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY 15497 CA Primary

Addresses

Primary practice location

100 Longbrook Way
Ste. 20
Pleasant Hill, CA 94523

Mailing address

3275 W. Hillsboro Blvd
Ste. 110
Deerfield Beach, FL 33442
Phone (954) 571-5102

Other names 1

  • NDFYA-CA Other name

National Provider Directory

National Provider Directory

Locations

100 Longbrook Way
Ste 20
Pleasant Hill, CA 94523
Phone (877) 763-5102

Practitioners & affiliated clinicians

Practitioners 1

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": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700290962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W. HILLSBORO BLVD",
            "address_2": "STE. 110",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33442",
            "telephone_number": "954-571-5102",
            "fax_number": "954-571-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LONGBROOK WAY",
            "address_2": "STE. 20",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "94523",
            "telephone_number": "877-763-5102",
            "fax_number": "954-571-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS FOR YOUNG ADULTS - CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-778-7808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY 15497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NDFYA-CA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.