YOUTH DEVELOPMENT INSTITUTE (NPI# 1609940865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609940865 |
| Entity Type | Organization |
| Organization Name | YOUTH DEVELOPMENT INSTITUTE |
| Practice Address |
1830 E Roosevelt St Phoenix AZ 85006-3641 |
| Practice Telephone | 6022540884 |
| Mailing Telephone | 6022540884 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TRISH COCOROS (ASSOCIATE DIRECTOR) |
| Authorized Official Telephone | 6022540884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH-159 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS PROVIDER # | 455263 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336305176 | Youth Development Institute | Residential Treatment Facility, Emotionally Disturbed Children | 1921 East Portland Street, Phoenix, AZ 85006 | 2008-07-31 |
| 1932365772 | Youth Development Institute | Residential Treatment Facility, Emotionally Disturbed Children | 1927 East Portland Street, Phoenix, AZ 85006 | 2008-07-31 |
| 1508939554 | Youth Development Institute | Residential Treatment Facility, Emotionally Disturbed Children | 1050 N 19th St, Bldg. A, Phoenix, AZ 85006-3679 | 2006-11-16 |
| 1013087352 | Youth Development Institute | Residential Treatment Facility, Emotionally Disturbed Children | 1830 E Roosevelt St, Phoenix, AZ 85006-3641 | 2006-11-08 |
| 1871668871 | Youth Development Institute | Community Based Residential Treatment Facility, Mental Illness | 1050 N 19th St, Bldg. A, Phoenix, AZ 85006-3679 | 2006-11-22 |
| 1295809457 | Youth Development Institute | Residential Treatment Facility, Emotionally Disturbed Children | 1050 N 19th St, Bldg. B, Phoenix, AZ 85006-3679 | 2006-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | YOUTH DEVELOPMENT INSTITUTE | 5121 S Roxbury, Seattle, WA 98118 |
| Street Address |
1830 E ROOSEVELT ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013087352 | Youth Development Institute | Residential Treatment Facility, Emotionally Disturbed Children | 1830 E Roosevelt St, Phoenix, AZ 85006-3641 | 2006-11-08 |
| 1295973253 | Amy Elizabeth Guertzgen | Social Worker | 1830 E Roosevelt St, Phoenix, AZ 85006-3641 | 2009-01-29 |
| 1295973246 | Angela Shopmeyer | Counselor | 1830 E Roosevelt St, Phoenix, AZ 85006-3641 | 2009-01-29 |
| 1043458003 | Ellen Marie Baker | Social Worker | 1830 E Roosevelt St, Phoenix, AZ 85006-3641 | 2009-01-29 |
| 1528206588 | Marina Chabolla | Counselor | 1830 E Roosevelt St, Phoenix, AZ 85006-3641 | 2009-01-29 |
| 1225175912 | Alan Dana Lewis | Psychologist | 1830 E Roosevelt St, Phoenix, AZ 85006-3641 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| 1043827561 | Crossroads, Inc | Community/Behavioral Health | 2002 E Osborn Rd, Phoenix, AZ 85016-7236 | 2020-09-29 |
| 1043827025 | Guiding Steps Health Services, LLC | Community/Behavioral Health | 4926 E Mcdowell Rd, Phoenix, AZ 85008-4294 | 2020-09-24 |
| 1154931566 | Apex Transitional Housing Inc | Community/Behavioral Health | 13827 N 11th St, Phoenix, AZ 85022-4316 | 2020-08-01 |
| 1356959126 | Rock House Az, LLC | Community/Behavioral Health | 8650 N 35th Ave Ste 110, Phoenix, AZ 85051-3835 | 2020-07-17 |
| 1215554902 | Lydia Barton | Community/Behavioral Health | 1420 W Missouri Ave, Phoenix, AZ 85013-1919 | 2020-06-29 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on YOUTH DEVELOPMENT INSTITUTE.
| 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.