YOUTH ADVOCATES OF SITKA, INC (NPI# 1356555809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356555809 |
Entity Type | Organization |
Organization Name | YOUTH ADVOCATES OF SITKA, INC |
Practice Address |
408 Oja Way Sitka AK 99835-7622 |
Mailing Address |
Po Box 664 Sitka AK 99835-0664 |
Practice Telephone | 9077473687 |
Practice Fax Number | 9077473627 |
Mailing Telephone | 9077473687 |
Mailing Fax Number | 9077473627 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. DAVID VOLUCK (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9077473687 |
Authorized Official Credential | J.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MH0003 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629282173 | Youth Advocates of Sitka, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 216 Lance Dr, Sitka, AK 99835-9749 | 2007-05-10 |
1174735575 | Youth Advocates of Sitka, Inc | Community/Behavioral Health | 408 Oja Way, Sitka, AK 99835-7622 | 2007-05-06 |
Street Address |
408 OJA WAY |
City | SITKA |
State | AK |
Zip Code | 99835-7622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174735575 | Youth Advocates of Sitka, Inc | Community/Behavioral Health | 408 Oja Way, Sitka, AK 99835-7622 | 2007-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
Find all providers in zip 99835 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134729387 | Volunteers of America Alaska, Clark Ms | Clinic/Center | 150 Bragaw St, Anchorage, AK 99508-1307 | 2020-10-27 |
1255938239 | Anchorage Community Mental Health Services, Inc | Clinic/Center | 4045 Lake Otis Pkwy Ste 101, Anchorage, AK 99508-5227 | 2020-10-03 |
1780221127 | Latouche Pediatrics, LLC | Clinic/Center | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2019-12-04 |
1518435734 | Hope Community Resources Inc | Clinic/Center | 540 W International Airport Rd, Anchorage, AK 99518-1105 | 2018-11-06 |
1891224879 | Wild Goose Counseling LLC | Clinic/Center | 198 W Marydale Ave, Soldotna, AK 99669-7501 | 2017-06-05 |
1538281514 | Alaska Children's Services, Inc. | Clinic/Center | 1709 Bragaw St, Anchorage, AK 99508-3436 | 2007-04-03 |
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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.