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FRED FINCH YOUTH CENTER NPI 1740314855


NPI Information

NPI: 1740314855
Provider Name: FRED FINCH YOUTH CENTER

Other Name: FRED FINCH YOUTH CENTER- BRIDGES OF SAN MATEO

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
126 W 25TH AVE
SUITE 200
SAN MATEO, CA
ZIP 94403
Phone: (650) 286-2090
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FRED FINCH YOUTH CENTER is a mental health counselor in San Mateo, CA. FRED FINCH YOUTH CENTER NPI is 1740314855. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Fred Finch Youth Center- Bridges Of San Mateo.

The provider's business location address is:

126 W 25TH AVE
SUITE 200
SAN MATEO, CA
ZIP 94403-208
Phone: (650) 286-2090
Fax: (650) 286-2092

The provider's authorized official is Thomas N Alexander .
The authorized official title is President And Ceo and has the following contact phone number (510) 482-2244.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 9/23/2016.


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
1103TC2200XPsychologistClinical Child & AdolescentNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4101YM0800XCounselorMental HealthYes

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: 4/28/2024

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