NPIMap

Organization Active NPI

Upper East TN Regional Juvenile Detention Center

  • Adolescent and Children Mental Health Clinic/Center
  • Johnson City, TN
National Provider Identifier
1326147331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
UPPER EAST TN REGIONAL JUVENILE DETENTION CENTER
Practice address
307 Wesley St
Johnson City, TN 37601-1721
Phone
(423) 282-2118
Fax
(423) 282-9669
NPI assigned
Sep 22, 2006
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
Ralph Sparks
Title
Admin
Phone
(423) 282-2118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

307 Wesley St
Johnson City, TN 37601-1721

Mailing address

307 Wesley St
Johnson City, TN 37601-1721
Phone (423) 282-2118

National Provider Directory

National Provider Directory
Tax ID family
Keystone Continuum LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

307 Wesley St
Johnson City, TN 37601
Phone (423) 282-2118

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326147331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WESLEY ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011721",
            "telephone_number": "423-282-2118",
            "fax_number": "423-282-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 WESLEY ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011721",
            "telephone_number": "423-282-2118",
            "fax_number": "423-282-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER EAST TN REGIONAL JUVENILE DETENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "423-282-2118"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

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.