NPIMap

Organization Active NPI

Families & Youth, Inc

Doing business as Fyi

  • Community/Behavioral Health Agency
  • Las Cruces, NM
National Provider Identifier
1003031436
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILIES & YOUTH, INC
Practice address
1320 S. Solano Drive
Las Cruces, NM 88001-3758
Phone
(505) 522-4004
Fax
(505) 522-9017
NPI assigned
Apr 13, 2007
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brian Kavanaugh, MPA
Title
Ceo
Phone
(575) 644-0485

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1077A NM
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1320 S. Solano Drive
Las Cruces, NM 88001-3758

Mailing address

PO Box 1868
Las Cruces, NM 88004-1868
Phone (505) 522-4004

Other practice location 1

118 S Main St
Las Cruces, NM 88001-1266
Phone (575) 636-7688

Other practice location 2

999 W Amador Ave Ste E
Las Cruces, NM 88005-2739
Phone (575) 522-4004

Other identifiers 3

IdentifierTypeStateIssuer
M1497MedicaidNM
B9814MedicaidNM
M0161MedicaidNM

Other names 1

  • FYI Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230529000318 NM Part B Supplier - Clinic/Group Practice 9739546284 Receives reassigned benefits from 15 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

118 S Main St
Las Cruces, NM 88001
Phone (575) 527-7975

715 E Amador Ave
Las Cruces, NM 88001

999 W Amador Ave
Ste E
Las Cruces, NM 88005
Phone (575) 522-4004

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1003031436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1868",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041868",
            "telephone_number": "505-522-4004",
            "fax_number": "505-522-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S. SOLANO DRIVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013758",
            "telephone_number": "505-522-4004",
            "fax_number": "505-522-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 S Main St",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880011266",
            "country_code": "US",
            "telephone_number": "575-636-7688",
            "fax_number": "575-522-9017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 W Amador Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880052739",
            "country_code": "US",
            "telephone_number": "575-522-4004",
            "fax_number": "575-522-9017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILIES & YOUTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "KAVANAUGH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-644-0485",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NM",
            "license": "1077A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1497",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B9814",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M0161",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FYI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FYI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.