YOUTH FOR CHANGE (NPI# 1144784315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144784315 |
| Entity Type | Organization |
| Organization Name | YOUTH FOR CHANGE |
| Practice Address |
2580 Sierra Sunrise Ter Ste 100 Chico CA 95928-8441 |
| Mailing Address |
578 Rio Lindo Ave Ste 3 Chico CA 95926-1800 |
| Practice Telephone | 5308771965 |
| Practice Fax Number | 5308948791 |
| Mailing Telephone | 5308945933 |
| Mailing Fax Number | 5308945791 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | ROSEMARY LISA KELLY (MEDICAL RECORDS SPECIALIST) |
| Authorized Official Telephone | 5308945933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| YFC Cal Park Support Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184124539 | Youth for Change | Clinic/Center | 1128 Yuba St, Marysville, CA 95901-4831 | 2018-02-12 |
| 1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
| 1356748297 | Youth for Change | Clinic/Center | 2854 Olive Hwy Ste B&c, Oroville, CA 95966-6112 | 2014-11-20 |
| 1841453438 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave Ste 104b&d, Chico, CA 95926 | 2008-07-03 |
| 1811506058 | Youth for Change | Clinic/Center | 260 Cohasset Rd, Chico, CA 95926-2282 | 2020-07-23 |
| 1013453802 | Youth for Change | Clinic/Center | 6083 Maxwell Dr, Paradise, CA 95969-4025 | 2017-01-17 |
| 1033660642 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave, Suite 206, Chico, CA 95926-1851 | 2016-10-18 |
| 1477856862 | Youth for Change | Clinic/Center | 578 Rio Lindo Ave Ste 3, Chico, CA 95926-1800 | 2010-12-07 |
| 1811159668 | Youth for Change | Clinic/Center | 130 W 6th St, Chico, CA 95928-5508 | 2008-07-01 |
| 1003953027 | Youth for Change | Clinic/Center | 7200 Skyway, Paradise, CA 95969-3280 | 2007-01-31 |
| Street Address |
2580 SIERRA SUNRISE TER STE 100 |
| City | CHICO |
| State | CA |
| Zip Code | 95928-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651088 | Lacey Jenevieve Grubb | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2020-02-19 |
| 1376173922 | Amber Lea Martin | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2020-01-23 |
| 1053941641 | Alfonso Abraham Torrez | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2020-01-22 |
| 1194364794 | Egypt Dominique Howard | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-12-30 |
| 1043854730 | Marla Dawn Oates | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-11-05 |
| 1205478062 | Aimee Avila | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-10-14 |
| 1861041881 | Yardley Silva | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-09-11 |
| 1255980744 | Marcelina Beatrice Porras | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-09-06 |
| 1346899036 | Kelly Rebecca Tully | Counselor | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-09-05 |
| 1194378059 | Dana Leona West | Licensed Vocational Nurse | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232672 | Mary Ester Potts | Behavior Technician | 1611 Chico River Road, Chico, CA 95928 | 2020-07-09 |
| 1679105605 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1910 E. 20th Street, Chico, CA 95928 | 2020-02-07 |
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1093217424 | Bonnie Jo Nelson | Registered Nurse | 91 Elderberry Court, Chico, CA 95928 | 2018-03-01 |
| 1174039036 | Deer Creek Surgery Center LLC | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2017-12-14 |
| 1174063606 | Erika Beteran | Counselor | 344 W 8th St, Chico, CA 95928 | 2017-03-02 |
| 1356723266 | Arjun S Sandhu | Podiatrist | 1806 Foundation Lane, Chico, CA 95928 | 2015-06-26 |
| 1912394735 | Kirk Bjella | Pediatrics | 1515 Springfield Dr, Children's Health Center, Chico, CA 95928 | 2015-04-20 |
| 1215346309 | Kathleen Renee Dahlstrom | Marriage & Family Therapist | 315 Wall St Ste 5, Chico, CA 95928 | 2014-08-04 |
| 1740696574 | Northern Valley Catholic Social Service, Inc. | Case Management | 1297 Park Avenue, Chico, CA 95928 | 2014-07-01 |
| Find all providers in zip 95928 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497390280 | Environmental Alternatives | Clinic/Center | 756 East Ave, Chico, CA 95926-1209 | 2019-11-15 |
| 1841453438 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave Ste 104b&d, Chico, CA 95926 | 2008-07-03 |
| 1811506058 | Youth for Change | Clinic/Center | 260 Cohasset Rd, Chico, CA 95926-2282 | 2020-07-23 |
| 1033660642 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave, Suite 206, Chico, CA 95926-1851 | 2016-10-18 |
| 1477856862 | Youth for Change | Clinic/Center | 578 Rio Lindo Ave Ste 3, Chico, CA 95926-1800 | 2010-12-07 |
| 1811159668 | Youth for Change | Clinic/Center | 130 W 6th St, Chico, CA 95928-5508 | 2008-07-01 |
| 1619194438 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-20 |
| 1528285343 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-20 |
| 1326265141 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-20 |
| 1942427281 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-19 |
| Find all providers in CHICO | ||||
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| 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.