Young Men'S Christian Association of Cass County, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF CASS COUNTY, INC.

Practice address

905 E Broadway
Logansport, IN 46947-3163

Phone

(574) 753-5141

Fax

(574) 735-2905

NPI assigned

Nov 4, 2016

Organization subpart

No

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

Authorized official

Name

Derreck Parkevich

Title

Ceo

Phone

(574) 753-5141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1376085514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E BROADWAY",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473163",
            "telephone_number": "574-753-5141",
            "fax_number": "574-735-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E BROADWAY",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473163",
            "telephone_number": "574-753-5141",
            "fax_number": "574-735-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF CASS COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "PARKEVICH",
        "authorized_official_first_name": "DERRECK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-753-5141"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Woolever, M.N.T.
• Michell Worthington, BA
• Manogna Deepthi Yakasiri
• Jennifer E Yocum, PHARMD
• Amy L Yoder, MA, LMHC
• Robin E Young, PSYD
• Angela Zeck, RN
• Danielle Marie Zeck, LPN
• Zecks Home Health LLC
• John B Zimmerer, MD

• Health Educator in Logansport, IN
• Providers in Logansport, IN by specialty
• Health Educator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.