NPIMap

Organization Active NPI

Child Guidance Center, Inc.

  • Community/Behavioral Health Agency
  • San Clemente, CA
National Provider Identifier
1821583337
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
910-1912-5 Issued in CA
Legal business name
CHILD GUIDANCE CENTER, INC.
Practice address
3551 Camino Mira Costa
Suite T
San Clemente, CA 92672
Phone
(949) 272-4444
Fax
(949) 272-4445
NPI assigned
Jun 27, 2018
Organization subpart
Yes
Parent organization
CHILD GUIDANCE CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Elaine Orourke
Title
Operations Manager
Phone
(714) 953-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 910-1912-5 CA Primary

Addresses

Primary practice location

3551 Camino Mira Costa
Suite T
San Clemente, CA 92672

Mailing address

525 Cabrillo Park Dr Ste 300
Santa Ana, CA 92701-5017
Phone (714) 953-4455

Other identifiers 1

IdentifierTypeStateIssuer
910-1912-5OtherCASTATE ID

Other names 1

  • CYS Child Guidance Center, Inc., South Other name

National Provider Directory

National Provider Directory
Tax ID family
Child Guidance Center Inc4 organizations share this tax ID, including this one
Part of
Child Guidance Center Inc

Other organizations with this tax ID 3

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

Locations

3551 Camino Mira Costa
Ste T
San Clemente, CA 92672
Phone (949) 272-4444

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1821583337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CABRILLO PARK DR STE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015017",
            "telephone_number": "714-953-4455",
            "fax_number": "714-547-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 CAMINO MIRA COSTA",
            "address_2": "SUITE T",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92672",
            "telephone_number": "949-272-4444",
            "fax_number": "949-272-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD GUIDANCE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILD GUIDANCE CENTER, INC.",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "OROURKE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "714-953-4455"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "910-1912-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "910-1912-5",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYS Child Guidance Center, Inc., South",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.