NPIMap

Organization Active NPI

Young Adult Institute

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1194903302
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2041 Issued in MD
Legal business name
YOUNG ADULT INSTITUTE
Practice address
8308 Liberty Rd
Baltimore, MD 21244-3105
Phone
(410) 521-4288
Fax
(410) 521-4988
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mr. Franklin Ajanaku, MS
Title
Executive Director
Phone
(410) 521-4288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2041 MD Primary

Addresses

Primary practice location

8308 Liberty Rd
Baltimore, MD 21244-3105

Mailing address

8308 Liberty Rd
Baltimore, MD 21244-3105
Phone (410) 521-4288

Other identifiers 1

IdentifierTypeStateIssuer
908650100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Young Adult Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1194903302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 LIBERTY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212443105",
            "telephone_number": "410-521-4288",
            "fax_number": "410-521-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 LIBERTY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212443105",
            "telephone_number": "410-521-4288",
            "fax_number": "410-521-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG ADULT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "AJANAKU",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-521-4288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "908650100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.