Youth & Family Behavioral Health Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.

Practice address

3740 20TH St
Vero Beach, FL 32960-2418

Phone

(772) 252-9136

Fax

(772) 242-1296

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marie Marcelle A Monval

Title

Administrator

Phone

(772) 242-1079

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Youth Family Behavioral He2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Youth & Family Behavioral Health Center, Inc.

  • Case Management Agency
  • Fort Pierce, FL
  • NPI 1285309815
  NPD tax ID

Locations

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1346813177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602418",
            "telephone_number": "772-252-9136",
            "fax_number": "772-242-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602418",
            "telephone_number": "772-252-9136",
            "fax_number": "772-242-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "MONVAL",
        "authorized_official_first_name": "MARIE MARCELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-242-1079"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "251S00000X",
            "identifier": "251S00000X",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "youthandfamily@yfbhc.org",
            "affiliation": "N",
            "address_1": "3740 20th St",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329602418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.