Youth Build Phila Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

YOUTH BUILD PHILA CHARTER SCHOOL

Practice address

1231 N Broad St
3Rd Floor
Philadelphia, PA 19122-4021

Phone

(215) 627-8671

Fax

(215) 763-5774

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Simran Sidhu

Title

Executive Director

Phone

(215) 627-8671

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144360660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 N BROAD ST",
            "address_2": "3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224021",
            "telephone_number": "215-627-8671",
            "fax_number": "215-763-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 N BROAD ST",
            "address_2": "3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224021",
            "telephone_number": "215-627-8671",
            "fax_number": "215-763-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH BUILD PHILA CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "SIMRAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-627-8671",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017170560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Youspeak
• Edwar A Youssef, MD
• Marina Youssef
• Myrna Yousuf, OTR/L
• Wajiha Yousuf, MD
• Daniel Zhi Yong Yow, M.D.
• Yu Wellness, Inc
• Albert H Yu, M.D.
• Alison Yu, MD
• Bo Yu, MD

• Local Education Agency (LEA) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• 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.