YOUTH DEVELOPMENT CORPORATION OF AMERICA (NPI# 1952518110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952518110 |
| Entity Type | Organization |
| Organization Name | YOUTH DEVELOPMENT CORPORATION OF AMERICA |
| Other Organization Name | CRABTREE CREEK CLINIC |
| Practice Address |
4000 Blue Ridge Rd Suite 200 Raleigh NC 27612-4650 |
| Mailing Address |
6015 Fayetteville Rd Suite 211 Durham NC 27713-6254 |
| Practice Telephone | 9197824981 |
| Practice Fax Number | 9197822474 |
| Mailing Telephone | 9193238081 |
| Mailing Fax Number | 9195720004 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SEAN SCHREIBER (DEVELOPMENT DIRECTOR) |
| Authorized Official Telephone | 9193238081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| Other Name | Type Code |
|---|---|
| Crabtree Creek Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962610576 | Youth Development Corporation of America | Community/Behavioral Health | 335 Margie Dr, Warner Robins, GA 31088-7896 | 2007-05-18 |
| 1659589265 | Youth Development Corporation of America | Community/Behavioral Health | 105 Fieldstone Dr, Suite 4, Milledgeville, GA 31061-7107 | 2007-05-18 |
| 1700094414 | Youth Development Corporation of America | Community/Behavioral Health | 2801 Old Dawson Rd, Suite 200, Albany, GA 31707-1544 | 2007-05-18 |
| 1801938626 | Youth Development Corporation of America | Community/Behavioral Health | 9556 Tara Blvd, Jonesboro, GA 30236-6037 | 2007-02-12 |
| 1457492266 | Youth Development Corporation of America | Community/Behavioral Health | 414 Caldwell Ext, Chapel Hill, NC 27516-2051 | 2007-02-12 |
| 1235270026 | Youth Development Corporation of America | Community/Behavioral Health | 1105 E Cardinal St, Siler City, NC 27344-3300 | 2007-02-12 |
| 1689715880 | Youth Development Corporation of America | Community/Behavioral Health | 4424 Columbia Rd, Ste B, Martinez, GA 30907-4565 | 2007-02-09 |
| 1629023569 | Youth Development Corporation of America | Community/Behavioral Health | 803 S Garnett St, Henderson, NC 27536-4512 | 2006-05-22 |
| 1700928090 | Youth Development Corporation of America | Community/Behavioral Health | 412 Caldwell Ext Ste A, Chapel Hill, NC 27516-2065 | 2007-02-13 |
| 1154463446 | Youth Development Corporation of America | Foster Care Agency | 6050 Six Forks Rd, Raleigh, NC 27609-8601 | 2007-02-13 |
| Street Address |
4000 BLUE RIDGE RD SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457754 | Catherine Snow | Psychologist | 4000 Blue Ridge Rd, Suite 200, Raleigh, NC 27612-4650 | 2006-05-23 |
| 1992233639 | Toni Ann Apadula | Dietitian, Registered | 4000 Blue Ridge Rd, Raleigh, NC 27612-4650 | 2017-05-25 |
| 1497281117 | Anna Metz Lutz | Dietitian, Registered | 4000 Blue Ridge Rd, Suite 140, Raleigh, NC 27612-4650 | 2017-05-02 |
| 1942652763 | Whitney E. Draper, Psy.d., Pllc | Clinic/Center | 4000 Blue Ridge Rd, Ste 380, Raleigh, NC 27612-4650 | 2016-07-05 |
| 1912385899 | Jamie O'neill | Pharmacist | 4000 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-4650 | 2015-05-12 |
| 1861896425 | Anne-lloyd Batchelder | Social Worker | 4000 Blue Ridge Rd, Raleigh, NC 27612-4650 | 2014-10-10 |
| 1376964171 | Sembranet, Inc | In Home Supportive Care | 4000 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-4650 | 2013-12-20 |
| 1487963542 | At Home Senior Services, Inc. | Home Health | 4000 Blue Ridge Rd, Suite 120, Raleigh, NC 27612-4650 | 2010-10-06 |
| 1619149127 | Sembracare, Inc | Case Management | 4000 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-4650 | 2008-03-25 |
| 1245428390 | Corrie Celean Bauer-fitzsimons | Social Worker | 4000 Blue Ridge Rd, Raleigh, NC 27612-4650 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| 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 |
|---|---|---|---|---|
| 1528688678 | Life Extensions LLC | Community/Behavioral Health | 4304 Coburn Pl Apt 106, Raleigh, NC 27616-7971 | 2020-04-19 |
| 1639716368 | Monarch | Community/Behavioral Health | 1705 Beacon Bluff St, Raleigh, NC 27604-5446 | 2019-12-02 |
| 1700429396 | Transcending Limits Counseling Services Pllc | Community/Behavioral Health | 3445 Teravista Way, Raleigh, NC 27616-9310 | 2019-10-25 |
| 1497397137 | Ever-lasting Counseling Service LLC | Community/Behavioral Health | 7730 Sunfield Cir Apt 303, Raleigh, NC 27617-6762 | 2019-10-15 |
| 1285108373 | Metro Treatment of North Carolina L P | Community/Behavioral Health | 3911 New Bern Ave, Raleigh, NC 27610-1332 | 2019-01-11 |
| 1932670999 | Elevation Community Services, LLC | Community/Behavioral Health | 3712 Benson Dr Ste 201-202, Raleigh, NC 27609-7328 | 2018-12-16 |
| 1891297222 | Saving Hope, LLC | Community/Behavioral Health | 2501 Lilymount Dr, Raleigh, NC 27610-3476 | 2018-03-01 |
| 1508370776 | Resiliency In Recovery | Community/Behavioral Health | 3986 Cane Garden Dr, Raleigh, NC 27610-5696 | 2017-11-27 |
| 1467975318 | Aci Support Specialists, LLC | Community/Behavioral Health | 6832 Planting Ct, Raleigh, NC 27610-8705 | 2017-07-24 |
| 1134649601 | Aci Support Specialists, LLC | Community/Behavioral Health | 12367 Honeychurch St, Raleigh, NC 27614-7879 | 2017-06-26 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on YOUTH DEVELOPMENT CORPORATION OF AMERICA.
| 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.