NPIMap

Organization Active NPI

Ndutime Youth & Family Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1336222710
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
758-14-002 Issued in VA
Legal business name
NDUTIME YOUTH & FAMILY SERVICES, INC.
Practice address
4500 Richmond Henrico Tpke
Richmond, VA 23222-1346
Phone
(804) 308-1652
Fax
(804) 308-1653
NPI assigned
Oct 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
Mrs. Teshana Denise Henderson, LCSW
Title
Associate Director
Phone
(804) 303-8393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 758-14-002 VA Primary

Addresses

Primary practice location

4500 Richmond Henrico Tpke
Richmond, VA 23222-1346

Mailing address

PO Box 15808
Richmond, VA 23227-5808
Phone (804) 303-8393

National Provider Directory

National Provider Directory
Tax ID family
Ndutime Youth Family Services Inc7 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336222710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15808",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232275808",
            "telephone_number": "804-303-8393",
            "fax_number": "804-303-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 RICHMOND HENRICO TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232221346",
            "telephone_number": "804-308-1652",
            "fax_number": "804-308-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDUTIME YOUTH & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TESHANA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "804-303-8393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "758-14-002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

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.