FIELDS COMP. YOUTH SERVICES, INC.


Address: 7062 Napa Ave, Alta Loma, CA 91701-5431
Phone: 9094668685

FIELDS COMP. YOUTH SERVICES, INC. (NPI# 1346791803) 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) 1346791803
Entity Type Organization
Organization Name FIELDS COMP. YOUTH SERVICES, INC.
Practice Address 7062 Napa Ave
Alta Loma
CA 91701-5431
Mailing Address 8780 19th St
Suite 196
Alta Loma
CA 91701-4608
Practice Telephone 9094668685
Practice Fax Number 9094664815
Mailing Telephone 9096081991
Mailing Fax Number 9094664815
Enumeration Date 2016-10-20
Last Update Date 2020-01-16
Authorized Official Name MR. ARBY ENRICO FIELDS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9099451318
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 366402086 CA Residential Treatment Facilities
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
FIELDS COMPREHENSIVE YOUTH SERVICES, INC. Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881146421 Fields Comp. Youth Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1214 Eddington St, Upland, CA 91786-3440 2016-10-31

Office Location

Street Address 7062 NAPA AVE
City ALTA LOMA
State CA
Zip Code 91701-5431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942326012 Tisha S Langley Marriage & Family Therapist 7062 Napa Ave, Alta Loma, CA 91701-5431 2007-03-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558884882 Alinda Joan Kniss Speech-Language Pathologist 8990 19 Th Street #304, Alta Loma, CA 91701 2017-07-19
1164739595 Andrea G Moore-emmett Counselor 9330 Baseline Rd Ste 102, Rancho Cucamonga, CA 91701 2010-09-07
1053548644 Suniel S. Khemlani Family Medicine 11398 Kenyon Way Ste J, Rancho Cucamonga, CA 91701 2009-06-22
1215130448 C Mark Keen Dentist 9606 Baseline Rd, Alta Loma, CA 91701 2007-06-06
1184845711 Andrew Liu Specialist/Technologist 11801 Lark Dr., Rancho Cucamonga, CA 91701 2007-05-01
1083741359 Rockcreek, Inc. Intermediate Care Facility, Mentally Retarded 10227 Monte Vista Street, Rancho Cucamonga, CA 91701 2007-02-27
1194867788 George Ji Jun Tao Dentist 6626 Carnelian St, Alta Loma, CA 91701 2007-02-12
1265590624 Terry F Brock Dentist 7283 Carnelian St, Alta Loma, CA 91701 2006-12-05
1851461354 Dr Tom Dental Office Dentist 6795 Carnelian St, Alta Loma, CA 91701 2006-11-09
1124127956 Johnny S Liu Dentist 7168 Archibald Ave, Suite 200, Alta Loma, CA 91701 2006-09-21
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144820499 Catholic Charities of The Diocese of Oakland Residential Treatment Facility, Emotionally Disturbed Children 3700 Dorisa Ave, Oakland, CA 94605-4941 2020-10-27
1922607944 Inspire A Youth, Inc Residential Treatment Facility, Emotionally Disturbed Children 7556 Avenida Baja, Riverside, CA 92509-3449 2020-10-21
1235736554 Yvonne Dionne Robinson Residential Treatment Facility, Emotionally Disturbed Children 1223 E Helmick St, Carson, CA 90746-3163 2020-10-09
1740897784 Paradise Adolescent Home, Inc. Residential Treatment Facility, Emotionally Disturbed Children 602 Woodlark Dr, Suisun City, CA 94585-2244 2020-09-24
1548877657 T & T House of Champions Residential Treatment Facility, Emotionally Disturbed Children 2115 High St, Oakland, CA 94601-4335 2020-09-23
1902412182 Paradise Adolescent Home, Inc. Residential Treatment Facility, Emotionally Disturbed Children 136 Valdivia Cir, San Ramon, CA 94583-2228 2020-09-22
1073128492 Samuel Campbell Jr. Residential Treatment Facility, Emotionally Disturbed Children 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 2020-09-11
1336753433 Aaron's Boys Home Residential Treatment Facility, Emotionally Disturbed Children 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 2020-09-04
1699389452 Millie's Youth Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 2512 Havenscourt Blvd, Oakland, CA 94605-1935 2020-08-31
1538779871 Hidden Treasures Foundation, Inc Residential Treatment Facility, Emotionally Disturbed Children 1240 W 13th Ave, Escondido, CA 92025-5560 2020-08-02
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Competitor

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City ALTA LOMA
Zip Code 91701

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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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