Wyoming Youth Services Bureau

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

WYOMING YOUTH SERVICES BUREAU

Practice address

800 Oak Ave
Wyoming, OH 45215-2720

Phone

(513) 821-2428

Fax

(513) 821-3707

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Braun Hauser, LISW

Title

Executive Director

Phone

(513) 821-2428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215091533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OAK AVE",
            "city": "WYOMING",
            "state": "OH",
            "postal_code": "452152720",
            "telephone_number": "513-821-2428",
            "fax_number": "513-821-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK AVE",
            "city": "WYOMING",
            "state": "OH",
            "postal_code": "452152720",
            "telephone_number": "513-821-2428",
            "fax_number": "513-821-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING YOUTH SERVICES BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "BRAUN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-821-2428",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seniority Wellness & Consulting LLC
• Edward George Shelleby, PH.D.
• Latoya N Smith, STNA, CCMA
• Karen Marie Tanveer, M.A.
• Rene Thomas, PT

• Voluntary or Charitable Agency in Wyoming, OH
• Providers in Wyoming, OH by specialty
• Voluntary or Charitable Agency in Ohio

• 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.