FRED FINCH YOUTH CENTER CARES
FRED FINCH YOUTH CENTER CARES-MAIN OFFICE · Counselor

Address: 10174 Old Grove Road, Sutie 100, San Diego, CA 92131

FRED FINCH YOUTH CENTER CARES (NPI# 1710439559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710439559
Entity Type Organization
Organization Name FRED FINCH YOUTH CENTER CARES
Other Organization Name FRED FINCH YOUTH CENTER CARES-MAIN OFFICE (Other Name)
Practice Address 10174 Old Grove Road
Sutie 100
San Diego
CA 92131
Practice Telephone 8584448823
Practice Fax Number 8584448827
Mailing Address 10174 Old Grove Road
Suite 100
San Diego
CA 92131
Mailing Telephone 8584448823
Mailing Fax Number 8584448827
Enumeration Date 2016-10-27
Last Update Date 2017-12-20
Authorized Official Telephone 8584448823
Authorized Official Credential PSYD, MSBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 193400000X MULTIPLE SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 193400000X MULTIPLE SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers
N 103T00000X Psychologist 193400000X MULTIPLE SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 104100000X Social Worker 193400000X MULTIPLE SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 193400000X MULTIPLE SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers
N 221700000X Art Therapist 193400000X MULTIPLE SINGLE SPECIALTY GROUP Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 222Q00000X Developmental Therapist 193400000X MULTIPLE SINGLE SPECIALTY GROUP Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225800000X Recreation Therapist 193400000X MULTIPLE SINGLE SPECIALTY GROUP Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225X00000X Occupational Therapist 193400000X MULTIPLE SINGLE SPECIALTY GROUP Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Fred Finch Youth Center CARES-Main Office Other Name

Office Location

Street Address 10174 OLD GROVE ROAD
SUTIE 100
City SAN DIEGO
State CA
Zip Code 92131

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1073626784 Sizewise Rentals LLC Durable Medical Equipment & Medical Supplies 9865 Businesspark Avenue, Suite A, El Dorado Business Park, Building 1, San Diego, CA 92131 2006-08-16
1235649690 Mac Dental Corporation Oral & Maxillofacial Surgery 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 2017-10-11
1609416965 Susan Cannon Behavior Technician 10680 Treena Street Suite 170, San Diego, CA 92131 2020-01-14
1295825735 Gail Ann Mann Social Worker - Clinical 3815 Carroll Canyon Rd, San Diego, CA 92131 2006-10-13
1205966520 Therapeutic Hands Orthopedic Home Physical Therapy Inc Specialist 11422 Holly Fern Ct., San Diego, CA 92131 2007-03-06
1245630789 Adam D Price Psychologist 10065 Old Grove Road, Suite 200, San Diego, CA 92131 2014-09-03
1679019087 Karyn Rose Giaquinto Fistonich Assistant Behavior Analyst 10060 Old Grove Road, San Diego, CA 92131 2017-01-09
1346647153 Neurosound, Inc. Specialist 10755 Scripps Poway Parkway, Suite 581, San Diego, CA 92131 2014-11-21
1124183025 Kenneth Charles Kubis Ophthalmology 34520 Bob Wilson Drive, Naval Medical Center Ophthalmology Suite 202, San Diego, CA 92131 2006-12-22
1669568374 Prima Bernabe Bernabe · Laprima Bernabe Wooters Physical Therapist 11555 Scripps Lake Drive, San Diego, CA 92131 2006-10-04
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689259806 Nathaly Jacqueline Ruiz Counselor 6560 Montezuma Rd Apt 305, San Diego, CA 92115-2819 2021-03-10
1760081376 Annel Vianey Orduno Counselor 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 2020-10-23
1689280422 Jason Vince Rather Counselor 333 Ledgewood Lane, San Diego, San Diego, CA 92114 2020-09-17
1851903751 Shawn M Sta Ines Counselor 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 2020-08-20
1821607599 Tara Oneil Counselor 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 2020-07-28
1881212520 Ureclaim Therapy Counselor 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 2020-07-09
1407480726 Autumn Weidman Counselor 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 2020-02-25
1073153714 Jennifer Lynn Martinez · Jenifer Lynn Martinez Counselor 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 2020-01-10
1881233708 Ramin Movafaghi Counselor 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 2019-12-23
1316595739 Ashley Champa Counselor 7954 Dagget St, San Diego, CA 92111-2306 2019-08-28
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Competitor

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City SAN DIEGO
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Dataset Information

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.