Organization Active NPI

Community Action for Capable Youth

  • Community/Behavioral Health Agency
  • Mansfield, OH
National Provider Identifier
1295888691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY ACTION FOR CAPABLE YOUTH
Practice address
1495 W Longview Ave Ste 104
Mansfield, OH 44906-1872
Phone
(419) 774-5683
Fax
(419) 774-6364
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen S Miller, OCPSII
Title
Executive Director
Phone
(419) 774-5683

Specialties & licenses 1

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

Addresses

Primary practice location

1495 W Longview Ave Ste 104
Mansfield, OH 44906-1872

Mailing address

1495 W Longview Ave Ste 104
Mansfield, OH 44906-1872
Phone (419) 774-5683

National Provider Directory

National Provider Directory

Locations

1495 W Longview Ave
Ste 104
Mansfield, OH 44906
Phone (419) 774-5683

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295888691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 W LONGVIEW AVE STE 104",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061872",
            "telephone_number": "419-774-5683",
            "fax_number": "419-774-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 W LONGVIEW AVE STE 104",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061872",
            "telephone_number": "419-774-5683",
            "fax_number": "419-774-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION FOR CAPABLE YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-774-5683",
        "authorized_official_credential": "OCPSII"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • 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.