Centered Youth Clinic and Consulting PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTERED YOUTH CLINIC AND CONSULTING PLLC

Practice address

14008 Shadowglen Blvd Ste 300
Manor, TX 78653-3406

Phone

(512) 842-9655

NPI assigned

May 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Chinwe Efuribe, MD, MPHNPI 1093960718

Title

Physician Owner, Manager

Phone

(860) 983-6542

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chinwe Oyeronke Efuribe, M.D.

  • Pediatrics Physician
  • Manor, TX
  • NPI 1093960718
  NPD Authorized official

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620518400000",
    "number": "1306420013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20617 FAIRLEAF ST",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14008 SHADOWGLEN BLVD STE 300",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533406",
            "telephone_number": "512-842-9655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20617 Fairleaf St",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786602664",
            "country_code": "US",
            "telephone_number": "512-842-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTERED YOUTH CLINIC AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A",
        "authorized_official_last_name": "EFURIBE",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER, MANAGER",
        "authorized_official_telephone_number": "860-983-6542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirhanda Zoe Cardenas
• Care Elevated LLC (Comfort Keepers)
• Donna Carpenter, PHD
• Ashley Giselle Casas Pineda, M.A., NCC, LPC
• Jessica Cayce, M.D.
• Central Texas Community Health Centers (CommUnityCare)
• Central Texas Community Health Centers
• Gabrielle Marie Chavira, APRN, PMHNP-BC
• Christine Comerford, RN, IBCLC
• Dolores Edith Constantino, RN

• Health Service Clinic/Center in Manor, TX
• Providers in Manor, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.