location
search-icon
institution
Jr's Trauma Care Initiative
Adolescent and Children Mental Health Clinic/Center in San Ysidro, California
NPI 1205401593

Jr's Trauma Care Initiative is an Adolescent and Children Mental Health Clinic/Center based in San Ysidro, CA and is specialized in Adolescent and Children Mental Health. Jr's Trauma Care Initiative practices in San Ysidro, CA. The NPI Number for Jr's Trauma Care Initiative is 1205401593 and holds a License No. (California).

The current practice location address for Jr's Trauma Care Initiative is 1665 Precision Park Ln Ste H, San Ysidro, CA and can be reached out via phone at 619-330-7569.

Location: 1665 Precision Park Ln Ste H, San Ysidro, CA, 92173-3151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205401593
Provider Name
Jr's Trauma Care Initiative
Credential
Provider Entity Type
Organization
Address
1665 Precision Park Ln Ste H, San Ysidro, CA, 92173-3151
Phone Number
619-330-7569
Fax Number
Provider Enumeration Date
05/20/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1665 Precision Park Ln Ste H
City
San Ysidro
State
California
Zip
92173-1348
Phone Number
619-330-7569
Fax Number
person
Provider Business Mailing Address Details
Address
1665 Precision Park Ln Ste H
City
San Ysidro
State
California
Zip
92173-1348
Phone Number
619-330-7569
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.