Cassandra Woodruff Youth Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SO/CO286 Issued in TN

Legal business name

CASSANDRA WOODRUFF YOUTH CENTER

Practice address

605 Hemphill Cir
Chattanooga, TN 37411-2912

Phone

(423) 698-0229

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Cassandra Woodruff, M.A.

Title

Director

Phone

(423) 493-1867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164417465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 BENTON AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374063621",
            "telephone_number": "423-493-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HEMPHILL CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374112912",
            "telephone_number": "423-698-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA WOODRUFF YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-493-1867",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TN",
            "license": "SO/CO286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Lawrence Casey, AGNP-C
• Marie H. Casey
• Sarah Elizabeth Casey, CPHT
• Melantha Cash, NP
• April Yvette Caslin
• Leslie Torchick Casteel, FNP-C
• Charlotte J Castleberry, CCC-SLP
• David Castrilli, MD
• Jason Castro
• Jennifer Testerman Castro, CRNA

• Emotionally Disturbed Childrens' Residential Treatment Facility in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Tennessee

• 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.