Central Lyon Youth Connections

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6731-C Issued in NV

Legal business name

CENTRAL LYON YOUTH CONNECTIONS

Practice address

170 Pike Street
Dayton, NV 89403

Phone

(775) 246-0320

Fax

(775) 246-7553

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By 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

Michele Ann Watkins, MSWNPI 1629483367

Title

Executive Director, LCSW

Phone

(775) 246-0320

Specialties & licenses 1

Addresses

Locations

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.

• Michele Watkins, MSW

  • Clinical Social Worker
  • Dayton, NV
  • NPI 1629483367
  NPD (past) Authorized official

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1023490794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1865",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "89403",
            "telephone_number": "775-246-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PIKE STREET",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "89403",
            "telephone_number": "775-246-0320",
            "fax_number": "775-246-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL LYON YOUTH CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, LCSW",
        "authorized_official_telephone_number": "775-246-0320",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "6731-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carson Tahoe Physician Clinics
• Carson Tahoe Regional Healthcare
• Carson Tahoe Urgent Care
• Ellen Caton
• Central Lyon County Fire Protection District
• Patricia Ann Chambers, RN
• Brittnee Chappell
• Tina Charnett
• Annika Stasa Chryssos, PA STUDENT
• Robert S. Chudnow, M.D.

• Community/Behavioral Health Agency in Dayton, NV
• Providers in Dayton, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.