Organization Active NPI

Youth Transition Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Gilbert, AZ
National Provider Identifier
1033625926
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
BH5303 Issued in AZ
Legal business name
YOUTH TRANSITION SERVICES, INC.
Practice address
1190 S Boulder St Unit D
Gilbert, AZ 85296-3792
Phone
(480) 268-3131
Fax
(480) 899-7396
NPI assigned
Dec 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Authorized official

Name
Cherre Lewis, LBSW, MSW
Title
President
Phone
(480) 268-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BH5303 AZ Primary

Addresses

Primary practice location

1190 S Boulder St Unit D
Gilbert, AZ 85296-3792

Mailing address

10853 E Ramona Ave
Mesa, AZ 85212-2567
Phone (480) 268-3131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1033625926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10853 E RAMONA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122567",
            "telephone_number": "480-268-3131",
            "fax_number": "480-899-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S BOULDER ST UNIT D",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963792",
            "telephone_number": "480-268-3131",
            "fax_number": "480-899-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH TRANSITION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHERRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-268-3131",
        "authorized_official_credential": "LBSW, MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH5303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.