YCCC


Address: 584 Kentucky Ave, Woodland, CA 95695-2779
Phone: 5306613213

YCCC (NPI# 1124310057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124310057
Entity Type Organization
Organization Name YCCC
Other Organization Name SAFE HARBOR
Practice Address 584 Kentucky Ave
Woodland
CA 95695-2779
Practice Telephone 5306613213
Mailing Telephone 5306613213
Enumeration Date 2011-05-11
Last Update Date 2011-05-11
Authorized Official Name KACY GOULART (ADMINISTRATOR)
Authorized Official Telephone 5307582160
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health D7290386 CA Agencies

Other Provider/Organization Names

Other Name Type Code
Safe HArbor Other Name - Individual/Organization

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations YCCC Inc. 1362 Godbey Road, Mocksville, NC 27028

Office Location

Street Address 584 KENTUCKY AVE
City WOODLAND
State CA
Zip Code 95695-2779

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740489467 Alexandra Ioana Teter Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2007-07-12
1023481876 Ceasar Adrian Chavez Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2015-11-02
1346612637 Dahyoung Yoon Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2015-10-26
1386016764 Liliana Diaz Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2015-10-26
1215307632 Amira Shweyk Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2015-09-28
1477921922 Rebecca Salgado Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2015-09-14
1912375288 Diksha Mohapatra Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2015-09-03
1760858864 Christabel Asuncion Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2015-08-12
1174908727 Sara Sarmiento Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2015-07-24
1972986610 Adam Govani Counselor 584 Kentucky Ave, Woodland, CA 95695-2779 2015-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851144 Tariro Angela Sawaya Student in an Organized Health Care Education/Training Program 445 1st Street, Woodland, CA 95695 2020-08-14
1093277683 Christie Lynne Vice Marriage & Family Therapist 255 W Court St Ste D, Woodland, CA 95695 2019-04-02
1912479437 Phillips Scoliosis Center Chiropractor 375 W Main St., Ste C-1, Woodland, CA 95695 2018-12-21
1568947042 Nikhil Sibal Dentist Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 2018-10-01
1659860849 Savannah Ellizabeth Lindley Behavior Technician 260 West Main St, Woodland, CA 95695 2018-05-03
1982133344 Brittanie Ann Akey Behavior Technician 1102 Gary Way, Woodland, CA 95695 2017-06-08
1083163604 Arthur Hernandez Nurse Practitioner 215 West Beamer Street, Woodland, CA 95695 2016-09-23
1386191856 Kelly Lee Registered Nurse 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 2016-09-01
1730634486 Ida Nilanthi Lonnerdal Marriage & Family Therapist 455 First Street, Woodland, CA 95695 2016-08-23
1912365974 Yaretzi Counseling and Consulting LLC Social Worker 327 College St Ste 105, Woodland, CA 95695 2016-02-05
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770115065 Turning Point Community Programs Community/Behavioral Health 520 Cottonwood St Ste 16, Woodland, CA 95695-3603 2020-02-05
1366091191 Communicare Health Centers Community/Behavioral Health 453 1st St, Woodland, CA 95695-4023 2019-09-04
1477758217 Yolo Family Resource Center Community/Behavioral Health 828 Court Street, Woodland, CA 95695 2007-06-20
1215159991 Sexual Assault & Domestic Violence Center Community/Behavioral Health 933 Court Street, Woodland, CA 95695 2007-05-03
1790809994 Yolo Community Care Continuum Community/Behavioral Health 168 College Street, Woodland, CA 95695 2007-03-16
1548798242 Amber Aubertin Community/Behavioral Health 215 W Beamer St, Woodland, CA 95695 2017-05-25
1508248261 Phoenix Houses of California, Inc Community/Behavioral Health 812 Court St, Woodland, CA 95695-3517 2015-06-18
1063800753 Brandy Liebscher, Psyd Community/Behavioral Health 163 2nd St, Woodland, CA 95695-3316 2015-01-03
1760749162 Yolo Community Care Continuum Community/Behavioral Health 168 College St, Woodland, CA 95695-3263 2012-04-23
1346446432 Yolo County Health and Human Services Agency Community/Behavioral Health 137 N. Cottonwood Street, Suite 2500, Woodland, CA 95695 2007-06-25
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Competitor

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City WOODLAND
Zip Code 95695

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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