NPIMap

Organization Active NPI

Challenger Memorial Youth Center

  • Community/Behavioral Health Agency
  • Lancaster, CA
National Provider Identifier
1962730614
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFT 44041 Issued in CA
Legal business name
CHALLENGER MEMORIAL YOUTH CENTER
Practice address
5300 W Avenue I
Lancaster, CA 93536-8312
Phone
(661) 940-4052
Fax
(661) 940-5049
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Ms. Lissette De Leon, MFT
Title
Mhcii
Phone
(661) 940-4052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFT 44041 CA Primary

Addresses

Primary practice location

5300 W Avenue I
Lancaster, CA 93536-8312

Mailing address

5300 W Avenue I
Lancaster, CA 93536-8312
Phone (661) 940-4052

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1962730614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W AVENUE I",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935368312",
            "telephone_number": "661-940-4052",
            "fax_number": "661-940-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W AVENUE I",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935368312",
            "telephone_number": "661-940-4052",
            "fax_number": "661-940-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALLENGER MEMORIAL YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "MHCII",
        "authorized_official_telephone_number": "661-940-4052",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFT 44041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.