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FRED FINCH YOUTH CENTER- SAN DIEGO WRAP
NPI 1811185473
Social Worker - Clinical in Spring Valley, CA

Active since October 09, 2007
3845 SPRING DR, SPRING VALLEY, CA 91977(619) 797-1090(619) 797-1091 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fred Finch Youth Center- San Diego Wrap NPPES

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

FRED FINCH YOUTH CENTER- SAN DIEGO WRAP (NPI 1811185473) is a healthcare organization registered as a clinical in Spring Valley, California and active in the NPI registry since October 2007. The organization lists Thomas N Alexander, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1811185473
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFRED FINCH YOUTH CENTER
Location Address3845 SPRING DRSpring Valley, CA 91977-1030
Mailing Address3800 Coolidge AveOakland, CA 94602-3311 · (510) 482-2244 · Fax (510) 488-1960
Phone(619) 797-1090
Fax(619) 797-1091
Organization SubpartNo
Authorized OfficialThomas N AlexanderPresident And Ceo · (510) 482-2244
Enumeration DateOctober 9, 2007
Last NPPES UpdateSeptember 23, 2016
✔ NPI 1811185473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
3845 SPRING DR, Spring Valley, CA 91977
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Other Names 1

Other NameFred Finch Youth Center- San Diego Wrap

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fred Finch Youth Center- San Diego Wrap is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fred Finch Youth Center- San Diego Wrap, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Funmilola Umoren, NP
Nurse Practitioner
NPI 1124665468
2435 KAISER WAY
Antioch, CA 94531
(661) 345-2005
✔ PECOS449 mi
Megan O'brien, PMHNP
Nurse Practitioner
NPI 1750784559
3260 SACRAMENTO ST
Berkeley, CA 94702
(510) 981-4100
✔ PECOS461 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fred Finch Youth Center's NPI number?

The NPI number for Fred Finch Youth Center is 1811185473. It was assigned to this organization in the NPPES registry on October 9, 2007. The provider is also known as Fred Finch Youth Center- San Diego Wrap.

Where is Fred Finch Youth Center located?

Fred Finch Youth Center is located at 3845 Spring Dr, Spring Valley, CA 91977. The listed phone number is (619) 797-1090.

What is Fred Finch Youth Center's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Fred Finch Youth Center enrolled in Medicare?

Yes. Fred Finch Youth Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fred Finch Youth Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Fred Finch Youth Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fred Finch Youth Center was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.