NPIMap

Organization Active NPI

Youth Support Systems

  • Voluntary or Charitable Agency
  • West Valley City, UT
National Provider Identifier
1174629406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
11406 Issued in UT
Legal business name
YOUTH SUPPORT SYSTEMS
Practice address
3392 W 3500 S
West Valley City, UT 84119-2630
Phone
(801) 969-3307
Fax
(801) 964-8898
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Russell Marchel, PH.D.
Title
Executive Director
Phone
(801) 969-3307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 11406 UT Primary

Addresses

Primary practice location

3392 W 3500 S
West Valley City, UT 84119-2630

Mailing address

3392 W 3500 S
West Valley City, UT 84119-2630
Phone (801) 969-3307

Other identifiers 1

IdentifierTypeStateIssuer
261QR0405XMedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Wasatch Youth Support Systems8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174629406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3392 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192630",
            "telephone_number": "801-969-3307",
            "fax_number": "801-964-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3392 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192630",
            "telephone_number": "801-969-3307",
            "fax_number": "801-964-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SUPPORT SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCHEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-969-3307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "UT",
            "license": "11406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261QR0405X",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • 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.