NPIMap

Organization Active NPI

Child & Family Services of Yuma, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Yuma, AZ
National Provider Identifier
1407985617
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
BH-505 Issued in AZ
Legal business name
CHILD & FAMILY SERVICES OF YUMA, INC.
Practice address
257 S 3Rd Ave
Yuma, AZ 85364-2359
Phone
(928) 783-2427
Fax
(928) 783-0633
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Judy M Smith
Title
Executive Director
Phone
(928) 783-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BH-505 AZ Primary

Addresses

Primary practice location

257 S 3Rd Ave
Yuma, AZ 85364-2359

Mailing address

301 S 2ND Ave
Suite 3
Yuma, AZ 85364-2248
Phone (928) 783-0141

Other identifiers 1

IdentifierTypeStateIssuer
145062MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Child Family Services of Yuma Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

301 S 2nd Ave
Ste 3
Yuma, AZ 85364

257 S 3rd Ave
Yuma, AZ 85364
Phone (928) 783-2427

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1407985617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 2ND AVE",
            "address_2": "SUITE 3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642248",
            "telephone_number": "928-783-0141",
            "fax_number": "928-783-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S 3RD AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642359",
            "telephone_number": "928-783-2427",
            "fax_number": "928-783-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & FAMILY SERVICES OF YUMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-783-0141"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH-505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145062",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.