The Young Men'S Christian Association of Superior California

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF SUPERIOR CALIFORNIA

Practice address

2021 W St
Sacramento, CA 95818-1625

Phone

(916) 452-9622

NPI assigned

May 16, 2023

Organization subpart

No

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

Authorized official

Name

Tatiana Starr Daniels, LCSW

Title

Clinical Director

Phone

(916) 231-7297

Specialties & licenses 5

Addresses

Locations

Practitioners 1

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

• Crystal Marie Hayes, RD

  • Registered Dietitian
  • Pittsburg, CA
  • NPI 1609402601
  NPD (past)

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1811688302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 V ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181624",
            "telephone_number": "916-529-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 W ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181625",
            "telephone_number": "916-452-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 8th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958145503",
            "country_code": "US",
            "telephone_number": "916-231-7297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF SUPERIOR CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "STARR",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "916-231-7297",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Slug House, LLC
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• The Well Being Collective, a Licensed Clinical Social Worker Corporation
• Thimmaiah Ganapathi Theethira, M.D.,
• Brendan Thelen, MD
• Kendall Thelen, ARNP
• Anthony Themoleas
• Jessica L. Theno, CRNP

• Contractor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.