YOUTH CONSULTATION SERVICE INC (NPI# 1134670623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134670623 |
| Entity Type | Organization |
| Organization Name | YOUTH CONSULTATION SERVICE INC |
| Practice Address |
1153 E Laurelton Pkwy Teaneck NJ 07666-2766 |
| Mailing Address |
284 Broadway Newark NJ 07104-4003 |
| Practice Telephone | 9734828411 |
| Practice Fax Number | 9734822907 |
| Mailing Telephone | 9734828411 |
| Mailing Fax Number | 9734822907 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | MR. RICHARD MINGOIA (PRESIDENT CEO) |
| Authorized Official Telephone | 9734828144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1871097030 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Walnut Street, Northvale, NJ 07647 | 2018-03-22 |
| 1841794195 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Greenbrook Rd, Middlesex, NJ 08846-1319 | 2018-03-21 |
| 1235590803 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pamela Dr, Randolph, NJ 07869-3903 | 2016-03-10 |
| 1386005957 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Hill Top Dr, Princeton, NJ 08540-1301 | 2016-03-10 |
| 1316308000 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2345 Vine Rd, Vineland, NJ 08361-2517 | 2016-03-09 |
| 1881055580 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 187 Morris Ave, Denville, NJ 07834-1736 | 2016-03-09 |
| 1831564434 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11arcadia Drive, Winslow, NJ 08095 | 2015-12-08 |
| 1275913261 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33-35 Thomas St, Paterson, NJ 07503-2353 | 2015-06-04 |
| 1962882241 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2a Forest Ave, West Orange, NJ 07052-2912 | 2015-06-02 |
| Street Address |
1153 E LAURELTON PKWY |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1558983155 | Women's League Community Residences, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 265 Cedar Ln Fl 2, Teaneck, NJ 07666-3444 | 2020-05-18 |
| 1649734021 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1495 E Terrace Cir Apt 2, Teaneck, NJ 07666-5224 | 2019-01-30 |
| 1992217798 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Ayers Ct Apt 1a, Teaneck, NJ 07666-5129 | 2017-11-02 |
| 1871002873 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Hillside Ave, Teaneck, NJ 07666-4010 | 2017-09-22 |
| 1518492792 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Ayers Ct Apt 1a, Teaneck, NJ 07666-5133 | 2017-04-26 |
| 1225563588 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71 Ayers Ct, Apt 1b, Teaneck, NJ 07666-5145 | 2017-04-25 |
| 1457886004 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1390 Hill St, Apt 1b, Teaneck, NJ 07666-5123 | 2017-04-20 |
| 1134653736 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 134 Pinewood Pl, Teaneck, NJ 07666-4921 | 2017-04-20 |
| 1205361870 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir, Apt 2, Teaneck, NJ 07666-5230 | 2017-04-20 |
| Find all providers in TEANECK | ||||
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| 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.