1. Home
  2. Directory
  3. California
  4. San Rafael
  5. Residential Treatment Facility Emotionally Disturbed Children
  6. NPI Profile

CATHLIC CHARITIES CYO
NPI 1659670008
Residential Treatment Facility, Emotionally Disturbed Children in San Rafael, CA

Active since March 24, 2011
1 ST.VINCENT DR, SAN RAFAEL, CA 94903(415) 507-2000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cathlic Charities Cyo NPPES

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

CATHLIC CHARITIES CYO (NPI 1659670008) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in San Rafael, California and active in the NPI registry since March 2011. The organization lists Thesia Nichelle Davis, Program Supervisor, as its authorized official.

NPPES Registry Identity

NPI1659670008
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCATHLIC CHARITIES CYO
Location Address1 ST.VINCENT DRSan Rafael, CA 94903
Mailing Address18 W Lake DrAntioch, CA 94509-1939
Phone(415) 507-2000
Organization SubpartNo
Authorized OfficialThesia Nichelle DavisProgram Supervisor · (415) 507-2000
Enumeration DateMarch 24, 2011
Last NPPES UpdateJuly 21, 2022
✔ NPI 1659670008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
1 ST.VINCENT DR, San Rafael, CA 94903
Open in Google Maps ↗

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 Cathlic Charities Cyo's NPI number?

The NPI number for Cathlic Charities Cyo is 1659670008. It was assigned to this organization in the NPPES registry on March 24, 2011.

Where is Cathlic Charities Cyo located?

Cathlic Charities Cyo is located at 1 St.Vincent Dr, San Rafael, CA 94903. The listed phone number is (415) 507-2000.

What is Cathlic Charities Cyo's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Cathlic Charities Cyo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.