NPIMap

Organization Active NPI

Individuals Now, Inc

Doing business as Social Advocates for Youth

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1790822955
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
110000058 Issued in CA
Legal business name
INDIVIDUALS NOW, INC
Doing business as
Social Advocates for Youth
Practice address
2447 Summerfield Road
Santa Rosa, CA 95405
Phone
(707) 544-3299
Fax
(707) 544-6837
NPI assigned
Jan 30, 2007
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Ms. Elizabeth Goldman, M.A.NPI 1578600151
Title
Counseling Services Program Manager
Phone
(707) 800-3947

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 110000058 CA Primary

Addresses

Primary practice location

2447 Summerfield Road
Santa Rosa, CA 95405

Mailing address

2447 Summerfield Road
Santa Rosa, CA 95405
Phone (707) 544-3299

Other names 1

  • Social Advocates for Youth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Individual's Now Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2447 Summerfield Rd
Santa Rosa, CA 95405
Phone (707) 544-3299

Practitioners & affiliated clinicians

Practitioners 53

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 53

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1790822955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 SUMMERFIELD ROAD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95405",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 SUMMERFIELD ROAD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95405",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUALS NOW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "COUNSELING SERVICES PROGRAM MANAGER",
        "authorized_official_telephone_number": "707-800-3947",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "110000058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Social Advocates for Youth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.