Organization Active NPI

Centre County Youth Service Bureau

  • Case Management Agency
  • State College, PA
National Provider Identifier
1407241706
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CENTRE COUNTY YOUTH SERVICE BUREAU
Practice address
325 W Aaron Dr
State College, PA 16803-3045
Phone
(814) 237-5731
Fax
(814) 237-2228
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Andrea Boyles
Title
Chief Executive Officer
Phone
(814) 237-5731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

325 W Aaron Dr
State College, PA 16803-3045

Mailing address

325 W Aaron Dr
State College, PA 16803-3045
Phone (814) 237-5731

National Provider Directory

National Provider Directory

Locations

325 W Aaron Dr
State College, PA 16803
Phone (814) 237-5731

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1407241706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W AARON DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033045",
            "telephone_number": "814-237-5731",
            "fax_number": "814-237-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W AARON DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033045",
            "telephone_number": "814-237-5731",
            "fax_number": "814-237-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE COUNTY YOUTH SERVICE BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "814-237-5731"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.