Pride Youth Services, Inc

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

PRIDE YOUTH SERVICES, INC

Practice address

3230 Pennsylvania Ave, SE
Suite 210
Washington, DC 20020

Phone

(202) 575-0238

Fax

(202) 575-0239

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Ludley Howard

Title

President & Ceo

Phone

(202) 575-0238

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306063540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 PENNSYLVANIA AVE, SE",
            "address_2": "SUITE 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20020",
            "telephone_number": "202-575-0238",
            "fax_number": "202-575-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 PENNSYLVANIA AVE, SE",
            "address_2": "SUITE 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20020",
            "telephone_number": "202-575-0238",
            "fax_number": "202-575-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE YOUTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "LUDLEY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "202-575-0238"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy A Price, MD
• Wynnter J Price
• Yarnell L Price, HHA
• Madeline Prichard, PA-C
• Eugenia Priddy, M.D.
• Ashley Pride
• Katoria Taneice Michelle Pride
• Ricardo Pride
• Kendra Pridgen, ATC
• Dennis A. Priebat, MD

• Student Health Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Student Health Clinic/Center in District of Columbia

• 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.