Midway Youth and Family Development Center, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MIDWAY YOUTH AND FAMILY DEVELOPMENT CENTER, INC

Practice address

75 Yakima Rd
Dexter, NM 88230-9757

Phone

(575) 347-5309

Fax

(575) 347-5753

NPI assigned

Oct 25, 2011

Last updated

Nov 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danny Sons

Title

President

Phone

(575) 347-5309

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Robert Owen Phillips, DBH, LMSW, LADAC

  • Clinical Social Worker
  • Roswell, NM
  • NPI 1568736452
  NPD (past)

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1013293885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 YAKIMA RD",
            "city": "DEXTER",
            "state": "NM",
            "postal_code": "882309757",
            "telephone_number": "575-347-5309",
            "fax_number": "575-347-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 YAKIMA RD",
            "city": "DEXTER",
            "state": "NM",
            "postal_code": "882309757",
            "telephone_number": "575-347-5309",
            "fax_number": "575-347-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY YOUTH AND FAMILY DEVELOPMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SONS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-347-5309"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Hagelstein, M.S. C.C.C.
• Emigdia Herrera-Tello
• La Joya, LLC
• David Salcido Martinez
• Mariana Medina
• Cynthia A Mondragon, B.S., SLP-A
• Clarissa Renee Otero, MASTER SOCIAL WORKER
• Harry Robert Parsons III, DDS
• Erica Portio
• Celestina Prieto

• Family Nurse Practitioner in Dexter, NM
• Providers in Dexter, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.