NPIMap

Organization Active NPI

Childnet Youth and Family Services, Inc.

  • Rehabilitation Practitioner
  • Palm Desert, CA
National Provider Identifier
1780293936
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
CHILDNET YOUTH AND FAMILY SERVICES, INC.
Practice address
42-600 Cook Street
Suite 100
Palm Desert, CA 92211
Phone
(760) 773-7044
NPI assigned
Jul 23, 2020
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDNET YOUTH AND FAMILY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Mrs. Wendy Fies
Title
Controller
Phone
(562) 498-5513

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Rehabilitation Practitioner 225400000X NU Primary
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

42-600 Cook Street
Suite 100
Palm Desert, CA 92211

Mailing address

3545 Long Beach Blvd FL 5
Long Beach, CA 90807-3968
Phone (562) 498-5500

National Provider Directory

National Provider Directory
Tax ID family
Childnet Youth and Family Services Inc5 organizations share this tax ID, including this one
Part of
Childnet Youth and Family Services Inc

Other organizations with this tax ID 4

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

Locations

42600 Cook St
Ste 100
Palm Desert, CA 92211
Phone (760) 773-7044

Practitioners & affiliated clinicians

Practitioners 3

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": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1780293936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 LONG BEACH BLVD FL 5",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073968",
            "telephone_number": "562-498-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42-600 COOK STREET",
            "address_2": "SUITE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-773-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDNET YOUTH AND FAMILY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDNET YOUTH AND FAMILY SERVICES, INC.",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "FIES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "562-498-5513",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.