NPIMap

Organization Active NPI

Individual's Now, Inc

Doing business as Social Advocates for Youth - Tamayo Village

  • Case Management Agency
  • Santa Rosa, CA
National Provider Identifier
1942328869
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INDIVIDUAL'S NOW, INC
Doing business as
Social Advocates for Youth - Tamayo Village
Practice address
1700 Yulupa Ave
Santa Rosa, CA 95405-7721
Phone
(707) 544-3299
Fax
(707) 544-6837
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dorothy Lynn Iriks, MFT #82225
Title
Manager
Phone
(707) 544-3299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1700 Yulupa Ave
Santa Rosa, CA 95405-7721

Mailing address

1700 Yulupa Ave
Santa Rosa, CA 95405-7721
Phone (707) 544-3299

Other names 1

  • Social Advocates for Youth - Tamayo Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Individual's Now Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1700 Yulupa Ave
Santa Rosa, CA 95405
Phone (707) 528-7500

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1942328869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 YULUPA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057721",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 YULUPA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057721",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL'S NOW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "IRIKS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-544-3299",
        "authorized_official_credential": "MFT #82225"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Social Advocates for Youth - Tamayo Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 9, 2015; 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.