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MENDOCINO COUNTY YOUTH PROJECT NPI 1225182470


NPI Information

NPI: 1225182470
Provider Name: MENDOCINO COUNTY YOUTH PROJECT

Other Name: MENDOCINO FAMILY & YOUTH SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
776 S STATE ST
#107
UKIAH, CA
ZIP 95482
Phone: (707) 463-4915
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MENDOCINO COUNTY YOUTH PROJECT is a community behavioral health in Ukiah, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MENDOCINO COUNTY YOUTH PROJECT NPI is 1225182470. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mendocino Family & Youth Services.

The provider's business location address is:

776 S STATE ST
#107
UKIAH, CA
ZIP 95482
Phone: (707) 463-4915
Fax: (707) 463-4917

The provider's authorized official is Serena Jones .
The authorized official title is Director Of Clinical Program and has the following contact phone number (707) 463-4915.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 3/12/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12375OTHERCALIFORNIAMEDI-CAL MENDOCINO CO

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: 5/5/2024

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