NATIONAL YOUTH ADVOCATE PROGRAM, INC


Address: 3631 Edison Rd, South Bend, IN 46615-3715
Phone: 8002703756

NATIONAL YOUTH ADVOCATE PROGRAM, INC (NPI# 1003374422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003374422
Entity Type Organization
Organization Name NATIONAL YOUTH ADVOCATE PROGRAM, INC
Practice Address 3631 Edison Rd
South Bend
IN 46615-3715
Mailing Address 1801 Watermark Dr Ste 200
Columbus
OH 43215-7088
Practice Telephone 8002703756
Practice Fax Number 2192938604
Mailing Telephone 8882022965
Mailing Fax Number 6144878759
Enumeration Date 2019-03-05
Last Update Date 2019-03-05
Authorized Official Name MICHELLE YVONNE LIZARDI (MEDICAID BILLING SPECIALIST II)
Authorized Official Telephone 6142279430
Authorized Official Credential CPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720546146 National Youth Advocate Program, Inc Clinic/Center 839 S Adams St, Versailles, IN 47042-9422 2019-03-05
1205392479 National Youth Advocate Program, Inc Foster Care Agency 401 Nw 2nd Ave Ste 1000, Miami, FL 33128-1740 2019-02-13
1871007062 National Youth Advocate Program, Inc Community/Behavioral Health 2200 Rosselle St, Jacksonville, FL 32204-3126 2017-11-27
1184145559 National Youth Advocate Program, Inc Community/Behavioral Health 4150 Ford St, Fort Myers, FL 33916-9498 2017-07-06
1942672670 National Youth Advocate Program, Inc Foster Care Agency 700 W Hillsboro Blvd Ste 2-205, Deerfield Beach, FL 33441-1616 2015-10-21
1417262924 National Youth Advocate Program, Inc Community/Behavioral Health 4801 Southwick Dr Fl 3, Matteson, IL 60443-2254 2010-08-10
1679721906 National Youth Advocate Program, Inc Community/Behavioral Health 1303 E Main St, Columbus, OH 43205-2047 2008-08-28
1750993671 National Youth Advocate Program, Inc Community/Behavioral Health 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 2020-08-21
1487299715 National Youth Advocate Program, Inc Foster Care Agency 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2019-11-11
1083270193 National Youth Advocate Program, Inc Community/Behavioral Health 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 2019-05-14

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names NATIONAL YOUTH ADVOCATE PROGRAM, INC. 1801 Watermark Dr Ste 200, Columbus, OH 43215
Colorado Business Entities NATIONAL YOUTH ADVOCATE PROGRAM, INC. 1801 Watermark Drive, Suite 200, Columbus, OH 43215
Colorado Business Entities National Youth Advocate Program, Inc. - Colorado 1801 Watermark Drive, Suite 200, Columbus, OH 43215

Office Location

Street Address 3631 EDISON RD
City SOUTH BEND
State IN
Zip Code 46615-3715

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679954804 Healthlinc, Inc. Clinic/Center 1002 S Esther St, South Bend, IN 46615 2015-06-12
1861897688 Michelle Jean Streb Registered Nurse 1960 Northside Boulevard, South Bend, IN 46615 2014-10-23
1275848962 Charles Mikel Craig Optometrist 220 N. Ironwood Dr., South Bend, IN 46615 2010-08-18
1710219613 Debra Vasquez Occupational Therapy Assistant 1950 Ridgedaleroad, South Bend, IN 46615 2010-02-03
1114259132 Christopher Joseph Smith Physical Therapist 1005 Hickory Rd, South Bend, IN 46615 2010-02-01
1295064525 Starlight Care Facilities, Inc Skilled Nursing Facility 915 So. 27th Street, South Bend, IN 46615 2009-12-16
1699002642 Ann G Pryor Contractor 1516 E. Wayne St., South Bend, IN 46615 2009-11-12
1891917449 Logan Community Resources, Inc. Community/Behavioral Health 2505 E. Jefferson Blvd, South Bend, IN 46615 2007-05-03
1487712683 Julie Gaydos Plagens Dentist 604 South Eddy St, South Bend, IN 46615 2006-12-04
1629163084 Edward F Klodzinski Counselor 3603 E. Jefferson Blvd., South Bend, IN 46615 2006-10-03
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437421435 Anthony L Berardi, Phd PC Clinic/Center 300 S Saint Louis Blvd, Suite 202, South Bend, IN 46617-3043 2012-02-07
1750411872 Madison Center, Inc. Clinic/Center 403 E Madison St, South Bend, IN 46617-2322 2007-03-07
1376691154 Madison Center, Inc. Clinic/Center 403 E Madison St, South Bend, IN 46617-2322 2007-01-08
1174671952 Madison Center, Inc. Clinic/Center 403 E Madison St, South Bend, IN 46617-2322 2007-01-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861093676 Life Skills Unlimited LLC Clinic/Center 6433 E Washington St Ste 185, Indianapolis, IN 46219-6624 2020-11-06
1083214159 Amber Kinney, LLC Clinic/Center 623 S Washington St Apt A, Bloomington, IN 47401-5645 2020-10-28
1710585997 Bloomington Neurofeedback Clinic/Center 1905 S Liberty Dr, Bloomington, IN 47403-5146 2020-10-11
1255943346 Reality Counseling LLC Clinic/Center 5610 Crawfordsville Rd Ste 605, Indianapolis, IN 46224-3715 2020-08-19
1326658568 Jennifer Steinmetz Msw LLC Clinic/Center 115 N College Ave Ste 225, Bloomington, IN 47404-4099 2020-08-03
1376161810 North Clark Behavioral Health LLC Clinic/Center 2100 Market St Ste 200, Charlestown, IN 47111-8507 2020-07-10
1265068084 Wellness Etc LLC Clinic/Center 1133 W Mill Rd Ste 200, Evansville, IN 47710-3877 2020-03-13
1114553948 Johnson Nichols Health Clinic, Inc. Clinic/Center 720 N Marr Rd Ste A, Columbus, IN 47201-6660 2020-03-12
1376174904 Karen Brosius LLC Clinic/Center 901 S Rogers St Ste 201, Bloomington, IN 47403-4760 2020-02-02
1396385886 Urban Act Academy Clinic/Center 1250 E Market St, Indianapolis, IN 46202-3831 2020-01-13
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Competitor

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City SOUTH BEND
Zip Code 46615

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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