Youth Consultation Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

25MA07994300 Issued in NJ

Legal business name

YOUTH CONSULTATION SERVICES

Practice address

20 E Evergreen Ave
Somerdale, NJ 08083-1402

Phone

(856) 309-5429

Fax

(856) 309-5435

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Huang, M.D.

Title

Consulting Psychiatrist

Phone

(856) 309-5429

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1235318528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E EVERGREEN AVE",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "08083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E EVERGREEN AVE",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831402",
            "telephone_number": "856-309-5429",
            "fax_number": "856-309-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CONSULTING PSYCHIATRIST",
        "authorized_official_telephone_number": "856-309-5429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "25MA07994300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Wyszynski, RPH, PHARMD
• Youth Consultation Service Inc
• Youth Consultation Service Inc
• Youth Consultation Service Inc
• Youth Consultation Service Inc.
• Ronnie C Yuen Jr.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Somerdale, NJ
• Providers in Somerdale, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.