NPIMap

Organization Active NPI

Resilient Youth & Community (Ryc)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ketchikan, AK
National Provider Identifier
1306909197
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESILIENT YOUTH & COMMUNITY (RYC)
Practice address
2524 First Ave
Ketchikan, AK 99901-5804
Phone
(907) 225-4664
Fax
(907) 885-6613
NPI assigned
Dec 19, 2006
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dustin Art LarnaNPI 1396349007
Title
Ceo
Phone
(907) 220-7299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AK Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X AK

Addresses

Primary practice location

2524 First Ave
Ketchikan, AK 99901-5804

Mailing address

2514 First Ave
Ketchikan, AK 99901-5804
Phone (907) 225-4664

Other identifiers 1

IdentifierTypeStateIssuer
1021118MedicaidAK

Other names 1

  • Residential Youth Care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Residential Youth Care7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2514 First Ave
Ketchikan, AK 99901
Phone (907) 202-8684

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rycalaska/r4/

Practitioners & affiliated clinicians

Practitioners 78

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.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1306909197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 FIRST AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015804",
            "telephone_number": "907-225-4664",
            "fax_number": "907-885-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 FIRST AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015804",
            "telephone_number": "907-225-4664",
            "fax_number": "907-885-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT YOUTH & COMMUNITY (RYC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "LARNA",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "ART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-220-7299"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AK",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021118",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residential Youth Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.