SAN DIEGO YOUTH SERVICES


Address: 7364 El Cajon Blvd, San Diego, CA 92115-1864
Phone: 6192218600

SAN DIEGO YOUTH SERVICES (NPI# 1184119430) 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) 1184119430
Entity Type Organization
Organization Name SAN DIEGO YOUTH SERVICES
Other Organization Name BRIDGEWAYS
Practice Address 7364 El Cajon Blvd
San Diego
CA 92115-1864
Mailing Address 3255 Wing St
San Diego
CA 92110-4638
Practice Telephone 6192218600
Practice Fax Number 6192218611
Mailing Telephone 6192218600
Mailing Fax Number 6192218611
Enumeration Date 2018-06-28
Last Update Date 2018-06-28
Authorized Official Name MR. WALTER EDWIN PHILIPS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6192218601
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
BridgeWays Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629379581 San Diego Youth Services Case Management 3660 Fairmount Ave, San Diego, CA 92105-3422 2010-11-09
1134367337 San Diego Youth Services Voluntary or Charitable 3151 Redwood St, San Diego, CA 92104-4615 2009-01-26
1558548669 San Diego Youth Services Foster Care Agency 3255 Wing St Ste 500, San Diego, CA 92110-4642 2008-01-31
1366651366 San Diego Youth Services Community/Behavioral Health 2250 4th Avenue, Suite 301, San Diego, CA 92101 2007-05-22
1558495002 San Diego Youth Services Voluntary or Charitable 1870 Cordell Ct, El Cajon, CA 92020-0914 2007-03-15
1235149667 San Diego Youth Services Voluntary or Charitable 3255 Wing St, San Diego, CA 92110-4638 2006-08-08
1720509409 San Diego Youth Services Community/Behavioral Health 3427 4th Ave, San Diego, CA 92103-4910 2017-07-03
1689195398 San Diego Youth Services Community/Behavioral Health 3660 Fairmount Ave, San Diego, CA 92105-3422 2017-07-03
1477891257 San Diego Youth Services Case Manager/Care Coordinator 3151 Redwood St, San Diego, CA 92104-4615 2013-01-29
1952608465 San Diego Youth Services Voluntary or Charitable 3845 Spring Dr, Spring Valley, CA 91977-1030 2011-02-17

Office Location

Street Address 7364 EL CAJON BLVD
City SAN DIEGO
State CA
Zip Code 92115-1864

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992975080 Staci L Suzuki Psychologist 7364 El Cajon Blvd, Suite 212, San Diego, CA 92115-1864 2008-03-05
1851905921 Asia Goodrich Woods Counselor 7364 El Cajon Blvd, San Diego, CA 92115-1864 2020-09-04
1407460967 Shelby Denai St John Counselor 7364 El Cajon Blvd, San Diego, CA 92115-1864 2020-09-02
1174137749 Ariana Franco Counselor 7364 El Cajon Blvd, San Diego, CA 92115-1864 2020-09-01
1538643309 Lindsay Phillips Counselor 7364 El Cajon Blvd, San Diego, CA 92115-1864 2018-09-18
1558847210 Theresa Palafox Counselor 7364 El Cajon Blvd, San Diego, CA 92115-1864 2018-07-16
1215314596 Hazzel Angulo Marriage & Family Therapist 7364 El Cajon Blvd, San Diego, CA 92115-1864 2015-05-06
1063814887 Addis Alem Hikssa In Home Supportive Care 7364 El Cajon Blvd, #209, San Diego, CA 92115-1866 2014-09-24
1174765101 Proxima Medical Group Durable Medical Equipment & Medical Supplies 7364 El Cajon Blvd, Ste 203, San Diego, CA 92115-1864 2009-04-06
1801045349 Charity Lazzari Social Worker 7364 El Cajon Blvd, San Diego, CA 92115-1864 2008-09-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790313922 Mayra Ailed Bugarin Student in an Organized Health Care Education/Training Program City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 2020-04-01
1093369878 Chang Liu Counselor 3539 College Avenue, San Diego, CA 92115 2019-07-30
1689238560 Donia Ahadian Student in an Organized Health Care Education/Training Program City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 2019-04-26
1780157859 James Michael Sites Military Health Care Provider Uss Shoup Ddg 86, San Diego, CA 92115 2019-01-10
1780163006 Marcos Luis Sandoval Case Manager/Care Coordinator 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 2018-08-08
1437651981 Phyllis Lynette Pryor Licensed Vocational Nurse 4974 El Cajon Blvd Suite A, San Diego, CA 92115 2018-03-01
1982125605 Ellen Medical Transport Non-emergency Medical Transport (VAN) 4587 Winona Ave #5, San Diego, CA 92115 2017-07-03
1992225296 P'okot LLC Non-emergency Medical Transport (VAN) 5511 Adelaide Ave, 26, San Diego, CA 92115 2017-06-27
1578019840 Alfred Zygmunt Nowak Specialist/Technologist 6663 Reservoir Ln, San Diego, CA 92115 2016-08-28
1639534183 Kalkaal Financial Enterprise, LLC. Non-emergency Medical Transport (VAN) 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 2015-12-29
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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
1134729718 Cynthia Felicia Delaney Community/Behavioral Health 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 2020-10-31
1790390359 Institute of Behavioral Sciences and Technology Family Counseling Community/Behavioral Health 9655 Granite Ridge Dr Ste Ofc2005, San Diego, CA 92123-2674 2020-09-10
1902426018 Clayton Counseling Licensed Clinical Social Worker Inc. Community/Behavioral Health 2180 Garnet Ave Ste 2e, San Diego, CA 92109-3675 2020-04-17
1679113765 Kristina Copley Marriage and Family Therapy, Inc Community/Behavioral Health 1267 Rosecrans St Ste B, San Diego, CA 92106-2692 2020-01-07
1417598319 Open Heart Leaders Community/Behavioral Health 1913 Euclid Ave Ste 108, San Diego, CA 92105-5360 2019-10-01
1710531405 Katherine Raftery Community/Behavioral Health 3570 Granada Ave, San Diego, CA 92104-4145 2019-07-31
1063064509 Abigail Frances Swan Community/Behavioral Health 3376 Grim Ave Apt 3, San Diego, CA 92104-4650 2019-07-15
1548726862 Unscripted Learning Community/Behavioral Health 3717 India St, San Diego, CA 92103-3727 2019-02-11
1356806509 Vista Hill Foundation Community/Behavioral Health 8825 Aero Drive, Suite 315, San Diego, CA 92123-1104 2019-02-01
1891275707 Kelley Kozlowski Community/Behavioral Health 4804 Iroquois Ave, San Diego, CA 92117-6248 2018-08-20
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Competitor

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City SAN DIEGO
Zip Code 92115

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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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