Trinity Youth Services

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

TRINITY YOUTH SERVICES

Practice address

10755 Apple Valley Rd
Apple Valley, CA 92308-3684

Phone

(760) 247-9840

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Angela Mitchell, APCCNPI 1891372256

Title

Associate Therapist

Phone

(760) 247-9840

Specialties & licenses 1

Addresses

Practitioners 1

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

• Angela Mitchell, APCC

  • Mental Health Counselor
  • Apple Valley, CA
  • NPI 1891372256
  NPD Authorized official

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1720664618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 APPLE VALLEY RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923083684",
            "telephone_number": "760-247-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 APPLE VALLEY RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923083684",
            "telephone_number": "760-247-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ASSOCIATE THERAPIST",
        "authorized_official_telephone_number": "760-247-9840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APCC"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri City RX Pharmacy, Inc.
• Tri-Cities Physical Therapy
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• Trinity Youth Services
• Trinity Youth Services
• Triumphant Life
• Jaclyn Jean Trost, M.A.,M.F.T.
• True Nourishment Corp
• Cecilia Trujillo, COTA/L

• Emotionally Disturbed Childrens' Residential Treatment Facility in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.