NPIMap

Organization Active NPI

Stanford Youth Solutions

  • Community/Behavioral Health Agency
  • Placerville, CA
National Provider Identifier
1821619347
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STANFORD YOUTH SOLUTIONS
Practice address
629 Main St Ste 1
Placerville, CA 95667-5751
Phone
(916) 344-0199
NPI assigned
May 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Rebecca Ryness
Title
Payroll
Phone
(916) 344-0199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

629 Main St Ste 1
Placerville, CA 95667-5751

Mailing address

8912 Volunteer LN
Sacramento, CA 95826-3221

Other names 1

  • Stanford Sierra Youth & Families Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanford Sierra Youth Families8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1821619347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 VOLUNTEER LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 MAIN ST STE 1",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675751",
            "telephone_number": "916-344-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD YOUTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "RYNESS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PAYROLL",
        "authorized_official_telephone_number": "916-344-0199"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanford Sierra Youth & Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.