NPIMap

Organization Active NPI

Western Youth Services

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1831972140
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
WESTERN YOUTH SERVICES
Practice address
3631 S Harbor Blvd FL 2
Santa Ana, CA 92704-6951
Phone
(949) 855-1556
NPI assigned
Aug 18, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN YOUTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Katherine November, LCSWNPI 1407237878
Title
Coo
Phone
(949) 855-1556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

3631 S Harbor Blvd FL 2
Santa Ana, CA 92704-6951

Mailing address

23461 S Pointe Dr Ste 220
Laguna Hills, CA 92653-1523

Other names 1

  • CYS Western Youth Services Metro East Other name

National Provider Directory

National Provider Directory
Tax ID family
Western Youth Services10 organizations share this tax ID, including this one
Part of
Western Youth Services

Other organizations with this tax ID 9

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

Locations

3631 S Harbor Blvd
Fl 2
Santa Ana, CA 92704
Phone (909) 957-4873

Practitioners & affiliated clinicians

Practitioners 1

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": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1831972140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23461 S POINTE DR STE 220",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 S HARBOR BLVD FL 2",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046951",
            "telephone_number": "949-855-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN YOUTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN YOUTH SERVICES",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "NOVEMBER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-855-1556",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYS Western Youth Services Metro East",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.