NPIMap

Organization Active NPI

Youth Consultation Service Inc

  • Psychiatric Residential Treatment Facility
  • Hackensack, NJ
National Provider Identifier
1174662969
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
50019G44Y107 Issued in NJ
Legal business name
YOUTH CONSULTATION SERVICE INC
Practice address
260 Union St
Hackensack, NJ 07601-4203
Phone
(201) 343-8803
Fax
(201) 343-8563
NPI assigned
Feb 6, 2007
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Mr. Richard Mingoia
Title
President Ceo
Phone
(973) 482-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 50019G44Y107 NJ Primary

Addresses

Primary practice location

260 Union St
Hackensack, NJ 07601-4203

Mailing address

284 Broadway
Newark, NJ 07104-4003
Phone (973) 482-8411

Other identifiers 1

IdentifierTypeStateIssuer
4989503MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Youth Consultation Service Inc98 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1174662969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044003",
            "telephone_number": "973-482-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 UNION ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014203",
            "telephone_number": "201-343-8803",
            "fax_number": "201-343-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CONSULTATION SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "MINGOIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "973-482-8411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NJ",
            "license": "50019G44Y107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4989503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.