Taking Back Our Youth

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

TAKING BACK OUR YOUTH

Practice address

2012 W 25TH St FL 7
Cleveland, OH 44113-4135

Phone

(216) 799-9944

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Makanya Latasha Sarvera SmithNPI 1083475255

Title

Executive Director

Phone

(216) 799-9944

Specialties & licenses 2

Addresses

Other names 1

• TBOY Doing business as

Practitioners 1

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

• Makanya Latasha Sarvera Smith

  • Case Manager/Care Coordinator
  • Cleveland, OH
  • NPI 1083475255

  Peer Specialist

  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1093585366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 W 52ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025817",
            "telephone_number": "216-799-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 W 25TH ST FL 7",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134135",
            "telephone_number": "216-799-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKING BACK OUR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MAKANYA",
        "authorized_official_middle_name": "LATASHA SARVERA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-799-9944"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TBOY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Tak, M.D.
• Michael Braegor Takac
• Jessica Marie Takacs, APRN
• Take Another Chance LLC
• Taro Taketomi, M.D.
• Jeffry Takla, MD
• Ravi Talati, D.O.
• John L Talboo
• Erin Talbot, PA-C
• Nicholas James Talbot, MD

• Peer Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.