CENTER FOR YOUTH MENTAL HEALTH NPI 1679322267

NPI Information

  • NPI: 1679322267
  • Provider Name: CENTER FOR YOUTH MENTAL HEALTH
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • CLIA Number: 05D0586783
  • Address: 4630 SOQUEL DR STE 10
    SOQUEL, CA
    ZIP 95073
  • Phone: (831) 239-2015

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NPI Details

CENTER FOR YOUTH MENTAL HEALTH is an adolescent and children mental health clinic center in Soquel, CA. The provider is 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. CENTER FOR YOUTH MENTAL HEALTH NPI is 1679322267. The provider is registered as an organization entity type.

The provider's business location address is:

4630 SOQUEL DR STE 10
SOQUEL, CA
ZIP 95073-101
Phone: (831) 239-2015

The provider's authorized official is Lorraine Kay Butterworth .
The authorized official title is Co-founder and has the following contact phone number (831) 239-2015.

The CLIA number assigned to this NPI record is 05D0586783 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/15/2024 and was last updated on 5/15/2024.

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
1261QM0855XClinic/CenterAdolescent and Children Mental 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: 3/30/2025

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