YOUTH DEVELOPMENT SERVICES, LLC (NPI# 1134327679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134327679 |
| Entity Type | Organization |
| Organization Name | YOUTH DEVELOPMENT SERVICES, LLC |
| Practice Address |
271 Standish Ave Hackensack NJ 07601-1716 |
| Mailing Address |
6658 Sinkhole Rd Ambrose GA 31512-3890 |
| Practice Telephone | 2015433935 |
| Mailing Telephone | 9123891205 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TARA J SPATES (AUTHORIZED MEMBER) |
| Authorized Official Telephone | 9123891205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0036587 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669806311 | Youth Development Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2833 W Sunshine Butte Dr, San Tan Valley, AZ 85142-4730 | 2013-08-29 |
| Street Address |
271 STANDISH AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013419704 | Lotus Spring LLC | Community/Behavioral Health | 307 Prospect Ave Apt 14e, Hackensack, NJ 07601-2555 | 2018-03-08 |
| 1730548223 | Curtis Branch | Community/Behavioral Health | 70 Anderson St Apt 1f, Hackensack, NJ 07601-4430 | 2016-02-12 |
| 1790168359 | Ivelise Velez Corporation | Community/Behavioral Health | 560 Hudson Street, Suite3 Room 2, Hackensack, NJ 07601 | 2015-07-01 |
| 1740661271 | Eihab Human Services New Jersey, Inc. | Community/Behavioral Health | 215 Allen St, Hackensack, NJ 07601-1641 | 2015-06-10 |
| 1588081996 | D&s Psychological Services | Community/Behavioral Health | 162 Poor St, Hackensack, NJ 07601-1709 | 2014-03-24 |
| 1356685838 | Buddies of New Jersey Inc | Community/Behavioral Health | 149 Hudson St, Hackensack, NJ 07601-6823 | 2012-11-21 |
| 1427369990 | Harvest Center LLC | Community/Behavioral Health | 151 Prosepct Avenue, 17a, Hackensack, NJ 07601 | 2010-06-29 |
| 1750447207 | North Jersey Friendship House, Inc | Community/Behavioral Health | 125 Atlantic St, Hackensack, NJ 07601-4135 | 2006-12-29 |
| 1780740522 | Advance Housing, Inc. | Community/Behavioral Health | 100 1st St, Suite 203, Hackensack, NJ 07601-2153 | 2006-12-28 |
| 1366090433 | Nicole Appello Lcsw LLC | Community/Behavioral Health | 50 Clinton Pl, Hackensack, NJ 07601-4579 | 2019-08-30 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on YOUTH DEVELOPMENT SERVICES, LLC.
| 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.