NPIMap

Organization Active NPI

Youth Consultation Service, Inc

  • Psychiatric Residential Treatment Facility
  • Vineland, NJ
National Provider Identifier
1316436256
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
8014 Issued in NJ
Legal business name
YOUTH CONSULTATION SERVICE, INC
Practice address
2345 Vine Rd
Vineland, NJ 08361-2517
Phone
(856) 691-3851
Fax
(856) 691-6156
NPI assigned
May 7, 2018
Last updated
May 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Mr. Richard Mingoia, LCSW
Title
President/Ceo
Phone
(973) 482-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 8014 NJ Primary

Addresses

Primary practice location

2345 Vine Rd
Vineland, NJ 08361-2517

Mailing address

284 Broadway
Newark, NJ 07104-4003
Phone (973) 482-8411

National Provider Directory

National Provider Directory
Tax ID family
Youth Consultation Service Inc98 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2345 Vine Rd
Vineland, NJ 08361
Phone (856) 691-3851

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1316436256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044003",
            "telephone_number": "973-482-8411",
            "fax_number": "973-482-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 VINE RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083612517",
            "telephone_number": "856-691-3851",
            "fax_number": "856-691-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CONSULTATION SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "MINGOIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "973-482-8411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NJ",
            "license": "8014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.