HUCKLEBERRY YOUTH PROGRAM
NPI 1538429501
Community/Behavioral Health in San Rafael, CA

Active since May 23, 2012
361 3RD ST STE G, SAN RAFAEL, CA 94901(415) 258-4944(415) 258-4943 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Huckleberry Youth Program NPPES

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

HUCKLEBERRY YOUTH PROGRAM (NPI 1538429501) is a healthcare organization registered as a community/behavioral health in San Rafael, California and active in the NPI registry since May 2012. The organization lists Douglas Styles, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1538429501
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHUCKLEBERRY YOUTH PROGRAM
Location Address361 3RD ST STE GSan Rafael, CA 94901-3580
Mailing Address361 3rd St Ste GSan Rafael, CA 94901-3580 · (415) 258-4944 · Fax (415) 258-4943
Fax(415) 258-4943
Organization SubpartNo
Authorized OfficialDouglas StylesExecutive Director · (415) 668-2622
Enumeration DateMay 23, 2012
Last NPPES UpdateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
NPI 1538429501 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.
361 3RD ST STE G, San Rafael, CA 94901

Other Providers at the Same Location NPPES 6

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

Rehabilitation Practitioner
361 3RD ST STE G
SAN RAFAEL, CA 94901
Marriage & Family Therapist
361 3RD ST STE G
SAN RAFAEL, CA 94901
Counselor (Mental Health)
361 3RD ST STE G
SAN RAFAEL, CA 94901
Rehabilitation Practitioner
361 3RD ST STE G
SAN RAFAEL, CA 94901
Clinic/Center (Federally Qualified Health Center (FQHC))
361 3RD ST STE G
SAN RAFAEL, CA 94901
Rehabilitation Practitioner
361 3RD ST STE G
SAN RAFAEL, CA 94901

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 Huckleberry Youth Program's NPI number?

The NPI number for Huckleberry Youth Program is 1538429501. It was assigned to this organization in the NPPES registry on May 23, 2012.

Where is Huckleberry Youth Program located?

Huckleberry Youth Program is located at 361 3rd St Ste G, San Rafael, CA 94901. The listed phone number is (415) 258-4944.

What is Huckleberry Youth Program'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 Huckleberry Youth Program was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.