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SACRAMENTO YOUTH CENTER NPI 1356090203


NPI Information

NPI: 1356090203
Provider Name: SACRAMENTO YOUTH CENTER
Classification: Peer Specialist - 175T00000X
Entity Type: Organization
Address:
1901 DEL PASO BLVD
SACRAMENTO, CA
ZIP 95815
Phone: (916) 248-1081
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SACRAMENTO YOUTH CENTER is a peer specialist in Sacramento, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. SACRAMENTO YOUTH CENTER NPI is 1356090203. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1901 DEL PASO BLVD
SACRAMENTO, CA
ZIP 95815-020
Phone: (916) 248-1081

The provider's authorized official is Raquel Shipp .
The authorized official title is Executive Director and has the following contact phone number (916) 248-1081.

The enumeration date for this NPI number is 3/19/2022 and was last updated on 3/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.