YOUTH OPPORTUNITY CENTER INC (NPI# 1811163512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811163512 |
| Entity Type | Organization |
| Organization Name | YOUTH OPPORTUNITY CENTER INC |
| Practice Address |
3700 W Kilgore Ave Muncie IN 47304-4810 |
| Practice Telephone | 7652895437 |
| Practice Fax Number | 7652135094 |
| Mailing Telephone | 7652895437 |
| Mailing Fax Number | 7652135094 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | MR. RICHARD D ROWRAY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7652895437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200887990 | 05 |
| Street Address |
3700 W KILGORE AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134276884 | Youth Opportunity Center, Inc | Psychiatric Residential Treatment Facility | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2007-01-04 |
| 1992302368 | Mckenzie Slagle | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-10-07 |
| 1841807294 | Courtney Alane Eaddy-richardson | Student in an Organized Health Care Education/Training Program | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-09-29 |
| 1386250462 | Kalyn M Gebhardt | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-09-23 |
| 1063036903 | Margaret Ann Dorfner | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-06-06 |
| 1710500574 | Brandy Latrice Pugh | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-05-27 |
| 1396368403 | Ebony Logan | Student in an Organized Health Care Education/Training Program | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-05-22 |
| 1255964367 | Andrea Grace Trinidad | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-02-17 |
| 1790326312 | Cass G Winters | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2019-10-04 |
| 1053960021 | Jessica Simpson | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2019-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427212398 | Meghana Bhat | Psychiatry & Neurology | 130 N. Tillotson Avenue, Muncie, IN 47304-3988 | 2008-07-10 |
| 1013990415 | Snieguole Radzeviciene | Psychiatry & Neurology | 3620 W White River Blvd, Muncie, IN 47304-4286 | 2005-11-21 |
| 1629485107 | Ayodeji Ogunleye | Psychiatry & Neurology | 130 N Tillotson Ave, Muncie, IN 47304 | 2014-07-17 |
| 1093135121 | Jessie Rice | Psychiatry & Neurology | 1500 Neely Ave, Muncie, IN 47306-6560 | 2014-04-16 |
| 1871654137 | Rebecca Juanette Moredock-mueller | Psychiatry & Neurology | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-12-12 |
| 1356439830 | Denisse M. Ambler | Psychiatry & Neurology | 3620 W White River Blvd, Muncie, IN 47304-4286 | 2006-10-10 |
| 1487680914 | Rohit M. Borkhetaria | Psychiatry & Neurology | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2006-06-25 |
| 1316982309 | Sarfraz Saeed Khan | Psychiatry & Neurology | 240 N Tillotson Ave, Muncie, IN 47304 | 2006-06-17 |
| 1164473492 | Sandya I. Gunasekera | Psychiatry & Neurology | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051641 | Optimal Medical Services LLC | Psychiatry & Neurology | 10967 Allisonville Rd Ste 110b, Fishers, IN 46038-2634 | 2020-07-23 |
| 1518585462 | Tracy Lynn Genovese | Psychiatry & Neurology | 2718 Laguardia St, Portage, IN 46368-3139 | 2020-07-08 |
| 1457988107 | Quality 360 Healthcare Alliance | Psychiatry & Neurology | 12900 N Meridian St Ste 140, Carmel, IN 46032-5401 | 2020-03-24 |
| 1245707751 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 5320 Weston Rd # B, Evansville, IN 47712-3701 | 2018-11-01 |
| 1932697968 | Cadience Psych LLC | Psychiatry & Neurology | 1340 Blackthorne Trl N, Plainfield, IN 46168-5603 | 2018-04-25 |
| 1841796943 | Larrilyn Louise Grant | Psychiatry & Neurology | 355 W 16th St Dept Of, Indianapolis, IN 46202-2207 | 2018-04-05 |
| 1053761460 | Joel D Hart | Psychiatry & Neurology | 147 E Us Highway 36, Lynn, IN 47355-9193 | 2016-06-16 |
| 1275995698 | Shariff F Tanious | Psychiatry & Neurology | 355 W 16th St Ste 2364, Indianapolis, IN 46202-2279 | 2016-03-24 |
| 1871966523 | Virtual Consult Md LLC | Psychiatry & Neurology | 5444 E Indiana St, Suite 109, Evansville, IN 47715-2857 | 2015-11-03 |
| 1962881318 | Kevin Gerard Masterson | Psychiatry & Neurology | 550 University Blvd # 3124, Indianapolis, IN 46202-5149 | 2015-05-19 |
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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.