YOUTH FOR CHANGE (NPI# 1184124539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184124539 |
| Entity Type | Organization |
| Organization Name | YOUTH FOR CHANGE |
| Other Organization Name | MARYSVILLE YFC SUPPORT CENTER |
| Practice Address |
1128 Yuba St Marysville CA 95901-4831 |
| Practice Telephone | 5304181001 |
| Practice Fax Number | 5304181005 |
| Mailing Telephone | 5304181001 |
| Mailing Fax Number | 5304181005 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |
| Authorized Official Name | ROSEMARY LISA KELLY (AUTHORIZED NPI OFFICIAL) |
| 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 |
|---|---|
| Marysville YFC Support Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144784315 | Youth for Change | Clinic/Center | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-01-22 |
| 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 |
1128 YUBA ST |
| City | MARYSVILLE |
| State | CA |
| Zip Code | 95901-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097455 | Christina Wagnon | Counselor | 1128 Yuba St, Marysville, CA 95901-4831 | 2020-09-10 |
| 1962970285 | Deborah Ann Whitworth | Counselor | 1128 Yuba St, Marysville, CA 95901-4831 | 2018-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1710486170 | County of Sutter | Community/Behavioral Health | 8 7th Street, Marysville, CA 95901 | 2018-02-12 |
| 1144747676 | Amanda Shaye Martinez | Counselor | 103 D St., Marysville, CA 95901 | 2017-08-25 |
| 1912424557 | Jasmine Nicole Powers-mesna | Behavior Technician | 413 Pine Street, Marysville, CA 95901 | 2017-08-24 |
| 1457874729 | Rena Raju | Counselor | 1496 N. Beale Rd, Marysville, CA 95901 | 2017-07-19 |
| 1700319027 | Daniel Joseph Desmond V | Specialist/Technologist | 12 E 18th St, Marysville, CA 95901 | 2017-04-04 |
| 1720510340 | Austin James Parr | Specialist/Technologist | 1919 B St, Marysville, CA 95901 | 2017-04-02 |
| 1720411549 | Ann Marie Vallier | Counselor | 320 H Street, Suite 2, Marysville, CA 95901 | 2013-08-15 |
| 1790968725 | Huntleigh Healthcare LLC | Durable Medical Equipment & Medical Supplies | 625 Dubois Street, Suite B, San Rafael, CA 95901 | 2007-12-13 |
| 1275742405 | Yuba County Children and Families At Risk Program | Community/Behavioral Health | 209 6th Street, Marysville, CA 95901 | 2007-05-22 |
| Find all providers in zip 95901 | ||||
| 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] |
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| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
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| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 95901 |
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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.