NPIMap

Organization Active NPI

Youth Consultation Service Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Blackwood, NJ
National Provider Identifier
1366822355
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH1585 Issued in NJ
Legal business name
YOUTH CONSULTATION SERVICE INC
Practice address
1600 Peter Cheeseman Rd
Blackwood, NJ 08012-4439
Phone
(973) 482-8411
NPI assigned
Jun 4, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Richard Mingoia
Title
President Ceo
Phone
(973) 482-8411

National Provider Directory

National Provider Directory
Tax ID family
Youth Consultation Service Inc97 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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH1585 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

1600 Peter Cheeseman Rd
Blackwood, NJ 08012-4439

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2015.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1366822355",
    "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": "973-482-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PETER CHEESEMAN RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124439",
            "telephone_number": "973-482-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CONSULTATION SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "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."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH1585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.