WAYMAKERS (NPI# 1629430335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629430335 |
| Entity Type | Organization |
| Organization Name | WAYMAKERS |
| Other Organization Name | CYS WAYMAKERS CHILDREN'S RESIDENTIAL PROGRAM TUSTIN |
| Practice Address |
14632 Yorba St Tustin CA 92780 |
| Mailing Address |
1221 E Dyer Rd Ste 120 Santa Ana CA 92705-5634 |
| Practice Telephone | 7147140780 |
| Practice Fax Number | 7148844309 |
| Mailing Telephone | 7147140780 |
| Mailing Fax Number | 7148844309 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | RONNETTA JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9492500488 |
| 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 |
|---|---|
| CYS Waymakers Children's Residential Program Tustin | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373226 | Waymakers | Clinic/Center | 7291 Talbert Ave, Huntington Beach, CA 92648 | 2014-03-17 |
| 1699938902 | Waymakers | Community/Behavioral Health | 16580 Harbor Blvd, Unit M, Fountain Valley, CA 92708 | 2008-07-07 |
| 1528245909 | Waymakers | Community/Behavioral Health | 1231 E Dyer Rd, Suite 275, Santa Ana, CA 92705 | 2008-01-28 |
| 1407946221 | Waymakers | Clinic/Center | 2130 E 4th St Ste 150, Santa Ana, CA 92705 | 2006-10-13 |
| 1982913612 | Waymakers | Community/Behavioral Health | 16580 Harbor Blvd, Unit O, Fountain Valley, CA 92708 | 2010-09-29 |
| 1265747794 | Waymakers | Community/Behavioral Health | 1221 E Dyer Rd, Suite 220, Santa Ana, CA 92705 | 2010-08-09 |
| 1184779274 | Waymakers | Clinic/Center | 980 Catalina, Laguna Beach, CA 92651 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAYMAKERS | 1221 E Dyer Rd Ste 120, Santa Ana, CA 92705-5634 |
| Virginia Business Entities | Waymakers Foundation | 7633 Hull Street Rd Ste 203, North Chesterfield, Virginia 23235-6481 |
| Colorado Business Entities | Waymakers Global Inc | 3300 Walnut St Suite 118, Denver, CO 80205 |
| New York State Corporations | WAYMAKERS INCORPORATED | 115-02 222 St., Cambria Heights, Ny 11411 |
| Indiana Business Entities | WAYMAKERS OF MUNCIE, INCORPORATED | 1117 E Jackson St, Muncie, IN 47305 |
| Colorado Business Entities | Waymakers Transport LLC | 4894 Preachers Hollow Trl, Colorado Springs, CO 80924 |
| Colorado Business Entities | WayMakers Tree Service LLC | 2406 E Caramillo St., Colorado Springs, CO 80909 |
| Street Address |
14632 YORBA ST |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659687606 | Lisa Isis Samaan | Marriage & Family Therapist | 14632 Yorba St, Tustin, CA 92780-2554 | 2010-08-27 |
| 1467009126 | Jennifer Nicole Tamayo | Social Worker | 14632 Yorba St, Tustin, CA 92780-2554 | 2019-08-19 |
| 1720543986 | Teresa Jean Bernabe | Marriage & Family Therapist | 14632 Yorba St, Tustin, CA 92780-2554 | 2019-02-01 |
| 1477916609 | Mary J Mosier | Counselor | 14632 Yorba St, Tustin, CA 92780-2554 | 2016-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| 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 |
|---|---|---|---|---|
| 1801028279 | Western Youth Services | Clinic/Center | 15405 Lansdowne Rd, Tustin, CA 92710 | 2009-08-18 |
| 1588132732 | Arthur Montes, Licensed Clinical Social Worker, Inc. | Clinic/Center | 180 E Main St Ste 203, Tustin, CA 92780-4414 | 2018-11-06 |
| 1093282220 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 15405 Lansdowne Rd Ste C, Tustin, CA 92782-0201 | 2018-10-25 |
| 1255808564 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 15405 Lansdowne Rd Ste D, Tustin, CA 92782-0201 | 2018-10-25 |
| 1528543212 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 15405 Lansdowne Rd Ste C, Tustin, CA 92782-0201 | 2018-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 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 | ||||
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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.