Jr's Trauma Care Initiative - Mental Health Clinic in San Ysidro, CA

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Jr's Trauma Care Initiative is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in San Ysidro, California. The current practice location for Jr's Trauma Care Initiative is 1665 Precision Park Ln Ste H, San Ysidro, California. For appointments, you can reach them via phone at (619) 330-7569. The mailing address for Jr's Trauma Care Initiative is 654 E San Ysidro Blvd Unit 483, San Ysidro, California and phone number is (619) 330-7569.

Jr's Trauma Care Initiative is licensed to practice in * (Not Available) (license number ) and its NPI number is 1205401593. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (619) 330-7569.

Contact Information

Jr's Trauma Care Initiative
1665 Precision Park Ln Ste H
San Ysidro
CA 92173-1348
(619) 330-7569
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameJr's Trauma Care Initiative
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location1665 Precision Park Ln Ste H, San Ysidro, California
Authorized Official Name and PositionCharles Elmer Walker (DIRECTOR OF MENTAL HEALTH)
Authorized Official Contact6193307569
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jr's Trauma Care Initiative
654 E San Ysidro Blvd Unit 483
San Ysidro
CA 92173-3151

Ph: (619) 330-7569		Jr's Trauma Care Initiative
1665 Precision Park Ln Ste H
San Ysidro
CA 92173-1348

Ph: (619) 330-7569

NPI Details:

NPI Number1205401593
Provider Enumeration Date05/20/2021
Last Update Date05/20/2021
Certification Date05/20/2021

Medical Identifiers

Medical identifiers for Jr's Trauma Care Initiative such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205401593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary

Reviews and Comments

Clinic/Center in San Ysidro, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.