NPIMap

Organization Active NPI

County of Madera

Doing business as Children, Youth & Family Recovery Center SUD

  • Community/Behavioral Health Agency
  • Madera, CA
National Provider Identifier
1922850494
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF MADERA
Doing business as
Children, Youth & Family Recovery Center SUD
Practice address
117 N R St Ste 101
Madera, CA 93637-4465
Phone
(559) 662-0527
Fax
(559) 661-5159
NPI assigned
Apr 5, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Kimberlee Hernandez
Title
MHP/Compliance Aa II
Phone
(559) 673-3508

Specialties & licenses 1

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

Addresses

Primary practice location

117 N R St Ste 101
Madera, CA 93637-4465

Mailing address

PO Box 1288
Madera, CA 93639-1288
Phone (559) 673-3508

Other identifiers 1

IdentifierTypeStateIssuer
20AFOtherCAOTHER (NON-MEDICARE)

Other names 1

  • Children, Youth & Family Recovery Center SUD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Recovery Resource Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

117 N R St
Ste 101
Madera, CA 93637
Phone (559) 395-0450

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1922850494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936391288",
            "telephone_number": "559-673-3508",
            "fax_number": "559-661-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N R ST STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374465",
            "telephone_number": "559-662-0527",
            "fax_number": "559-661-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MADERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "MHP/COMPLIANCE AA II",
        "authorized_official_telephone_number": "559-673-3508"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER (NON-MEDICARE)",
            "identifier": "20AF",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children, Youth & Family Recovery Center SUD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.