Organization Active NPI

Youth & Family Behavioral Health Center, Inc.

  • Case Management Agency
  • Fort Pierce, FL
National Provider Identifier
1285309815
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.
Practice address
2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795
Phone
(772) 242-1079
Fax
(772) 242-1296
NPI assigned
Aug 16, 2021
Organization subpart
Yes
Parent organization
YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Marie Marcelle A Monval
Title
Administrator
Phone
(772) 242-1079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795

Mailing address

2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795
Phone (772) 242-1079

Other identifiers 1

IdentifierTypeStateIssuer
251B00000XOther251B00000X

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.YFBHC.ORG

National Provider Directory

National Provider Directory
Tax ID family
Youth Family Behavioral He2 organizations share this tax ID, including this one
Part of
Youth Family Behavioral He

Other organizations with this tax ID 1

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

Locations

2011 S 25th St
Ste 108
Fort Pierce, FL 34947
Phone (772) 242-1079

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1285309815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST STE 108",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474795",
            "telephone_number": "772-242-1079",
            "fax_number": "772-242-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST STE 108",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474795",
            "telephone_number": "772-242-1079",
            "fax_number": "772-242-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "MONVAL",
        "authorized_official_first_name": "MARIE MARCELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-242-1079"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "251B00000X",
            "identifier": "251B00000X",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.YFBHC.ORG",
            "affiliation": "N",
            "address_1": "2011 S 25th St Ste 108",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349474795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.