OrganizationActive
My Teen Mental Health LLC
NPI 1073323309 · Community/Behavioral Health Agency · Modesto, CA
My Teen Mental Health LLC is a Community/Behavioral Health Agency organization in Modesto, CA (NPI 1073323309).
Provider details
- NPI number
- 1073323309
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sophie Gomes, Authorized Official(201) 306-5670
Specialties & taxonomies
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 Standiford Ave Ste A1
Modesto, CA 95350-0981
Phone: (201) 306-5670
Street-level locationGet directions
Mailing address
2915 Red Hill Ave Ste A210c
Costa Mesa, CA 92626-7979
Registry dates
- Enumerated
- 2025-01-09
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is My Teen Mental Health LLC's NPI number?
- My Teen Mental Health LLC's National Provider Identifier (NPI) is 1073323309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Teen Mental Health LLC?
- My Teen Mental Health LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is My Teen Mental Health LLC located?
- My Teen Mental Health LLC's practice location on file with NPPES is 1101 Standiford Ave Ste A1, Modesto, CA 95350-0981.
- What is My Teen Mental Health LLC's phone number?
- The practice phone number listed in the NPPES registry for My Teen Mental Health LLC is (201) 306-5670.
- Who is the authorized official for My Teen Mental Health LLC?
- The authorized official listed on My Teen Mental Health LLC's NPPES record is Sophie Gomes, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Teen Mental Health LLC's NPI active?
- Yes — My Teen Mental Health LLC's NPI (1073323309) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.