NPIMap

Organization Active NPI

Ywca Sonoma County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
National Provider Identifier
1902471394
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YWCA SONOMA COUNTY
Practice address
1128 Edwards Ave
Santa Rosa, CA 95401-8801
Phone
(707) 303-8410
NPI assigned
May 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Donnell M Holmes, LMFT
Title
Clinical Director
Phone
(707) 303-8410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1128 Edwards Ave
Santa Rosa, CA 95401-8801

Mailing address

PO Box 3506
Santa Rosa, CA 95402-3506
Phone (707) 303-8410

Other practice location 1

819 3rd St
Santa Rosa, CA 95404-4545
Phone (707) 303-8410

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dholmes@ywcasc.org Direct

National Provider Directory

National Provider Directory

Locations

1128 Edwards Ave
Santa Rosa, CA 95401
Phone (650) 576-1325

819 3rd St
Santa Rosa, CA 95404
Phone (707) 303-3549

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1902471394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3506",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954023506",
            "telephone_number": "707-303-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 EDWARDS AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954018801",
            "telephone_number": "707-303-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 3rd St",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044545",
            "country_code": "US",
            "telephone_number": "707-303-8410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YWCA SONOMA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DONNELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "707-303-8410",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dholmes@ywcasc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "819 3rd St",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954044545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.