NPIMap

Organization Active NPI

Teton Youth and Family Services

Doing business as Red Top Meadows

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Wilson, WY
National Provider Identifier
1144414780
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1518 Issued in WY
Legal business name
TETON YOUTH AND FAMILY SERVICES
Doing business as
Red Top Meadows
Practice address
7905 S. Fall Creek Rd.
Wilson, WY 83014-0290
Phone
(307) 733-9098
Fax
(307) 733-7672
NPI assigned
Aug 28, 2007
Last updated
Aug 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Bruce Burkland, LMFT
Title
Executive Director
Phone
(307) 733-9098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1518 WY Primary

Addresses

Primary practice location

7905 S. Fall Creek Rd.
Wilson, WY 83014-0290

Mailing address

PO Box 290
Wilson, WY 83014-0290
Phone (307) 733-9098

Other names 1

  • Red Top Meadows Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Red Top Meadows4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1144414780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830140290",
            "telephone_number": "307-733-9098",
            "fax_number": "307-733-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 S. FALL CREEK RD.",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830140290",
            "telephone_number": "307-733-9098",
            "fax_number": "307-733-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "BURKLAND",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-733-9098",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WY",
            "license": "1518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Top Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.