NPIMap

Organization Active NPI

Youth Development Inc

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1013089002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
YOUTH DEVELOPMENT INC
Practice address
1820 San Pedro Dr NE
Suite 7 & 8
Albuquerque, NM 87110-5937
Phone
(505) 232-9015
Fax
(505) 232-9017
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynda Moore, LPCC
Title
Clinical Director
Phone
(505) 873-1604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1820 San Pedro Dr NE
Suite 7 & 8
Albuquerque, NM 87110-5937

Mailing address

1710 El Centro Familiar Blvd SW
Albuquerque, NM 87105-4502
Phone (505) 873-1604

National Provider Directory

National Provider Directory
Tax ID family
Youth Development Icorperated10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3411 Candelaria Rd NE
Ste J
Albuquerque, NM 87107
Phone (505) 352-3444

1820 San Pedro Dr NE
Ste 7
Albuquerque, NM 87110
Phone (505) 232-9015

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013089002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 EL CENTRO FAMILIAR BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054502",
            "telephone_number": "505-873-1604",
            "fax_number": "505-877-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SAN PEDRO DR NE",
            "address_2": "SUITE 7 & 8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105937",
            "telephone_number": "505-232-9015",
            "fax_number": "505-232-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "505-873-1604",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.