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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MY TEEN MENTAL HEALTH LLC
NPI 1073323309
Community/Behavioral Health in Modesto, CA

Active since January 09, 2025
1101 STANDIFORD AVE STE A1, MODESTO, CA 95350(201) 306-5670 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Jul 16, 2026, Oct 9, 2025 and 1 more (4 updates tracked since 2025).

About My Teen Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY TEEN MENTAL HEALTH LLC (NPI 1073323309) is a healthcare organization registered as a community/behavioral health in Modesto, California and active in the NPI registry since January 2025. The organization lists Sophie Gomes, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1073323309
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMY TEEN MENTAL HEALTH LLC
Location Address1101 STANDIFORD AVE STE A1Modesto, CA 95350-0981
Mailing Address2915 Red Hill Ave Ste A210cCosta Mesa, CA 92626-7979
Phone(201) 306-5670
Organization SubpartNo
Authorized OfficialSophie GomesAuthorized Official · (209) 457-5720
Enumeration DateJanuary 9, 2025
Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1073323309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

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.

1101 STANDIFORD AVE STE A1, Modesto, CA 95350
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY WATSON
Behavior Technician
1101 STANDIFORD AVE STE A1
MODESTO, CA 95350
Stanislaus County (855) 223-7123
NOELLE OLIVIA FRANKLIN
Behavior Technician
1101 STANDIFORD AVE STE A1
MODESTO, CA 95350
Stanislaus County (855) 223-7123
FABIAN HERNANDEZ
Behavior Technician
1101 STANDIFORD AVE STE A1
MODESTO, CA 95350
Stanislaus County (855) 223-7123
VICTORIA BARAJAS
Behavior Technician
1101 STANDIFORD AVE STE A1
MODESTO, CA 95350
Stanislaus County (855) 223-7123
SUZANNE DUNCAN
Behavior Technician
1101 STANDIFORD AVE STE A1
MODESTO, CA 95350
Stanislaus County (855) 223-7123
LAUREN CLAUSE
Behavior Technician
1101 STANDIFORD AVE STE A1
MODESTO, CA 95350
Stanislaus County (855) 223-7123
MICHELLE VO TOUN
Behavior Technician
1101 STANDIFORD AVE STE A1
MODESTO, CA 95350
Stanislaus County (855) 223-7123
DOMINIQUE REW
Behavior Technician
1101 STANDIFORD AVE STE A1
MODESTO, CA 95350
Stanislaus County (855) 223-7123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Teen Mental Health LLC's NPI number?

The NPI number for My Teen Mental Health LLC is 1073323309. It was assigned to this organization in the NPPES registry on January 9, 2025.

Where is My Teen Mental Health LLC located?

My Teen Mental Health LLC is located at 1101 Standiford Ave Ste A1, Modesto, CA 95350. The listed phone number is (201) 306-5670.

What is My Teen Mental Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for My Teen Mental Health LLC was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.