NPIMap

Organization Active NPI

Trinity Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Yucaipa, CA
National Provider Identifier
1861848525
Registry record updated Oct 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
TRINITY YOUTH SERVICES
Practice address
10776 Fremont St
Yucaipa, CA 92399-9630
Phone
(909) 797-0114
Fax
(909) 790-2148
NPI assigned
May 11, 2016
Last updated
Oct 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2017

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

Authorized official

Name
Mr. James R. Adams IVNPI 1487778569
Title
Director
Phone
(626) 444-0539

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X CA
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

10776 Fremont St
Yucaipa, CA 92399-9630

Mailing address

10776 Fremont St
Yucaipa, CA 92399-9630
Phone (909) 797-0114

Other names 1

  • Trinity Yucaipa Other name

National Provider Directory

National Provider Directory
Tax ID family
Trinity Apple Valley5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508025600000",
    "number": "1861848525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10776 FREMONT ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999630",
            "telephone_number": "909-797-0114",
            "fax_number": "909-790-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10776 FREMONT ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999630",
            "telephone_number": "909-797-0114",
            "fax_number": "909-790-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2017-10-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-444-0539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Yucaipa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; 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.