Young Men's Christian Association of la Porte Ind

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF LA PORTE IND

Practice address

901 Michigan Ave
La Porte, IN 46350-3504

Phone

(219) 325-9622

Fax

(219) 325-3600

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Cynthia Berchem

Title

Ceo

Phone

(219) 325-9622

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia K Nocek

  • Health Educator
  • La Porte, IN
  • NPI 1447058821
  NPD (past)
• Kathryn Triemstra

  • Health Educator
  • La Porte, IN
  • NPI 1659106300
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1417408121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MICHIGAN AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503504",
            "telephone_number": "219-325-9622",
            "fax_number": "219-325-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MICHIGAN AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503504",
            "telephone_number": "219-325-9622",
            "fax_number": "219-325-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF LA PORTE IND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "BERCHEM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-325-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Wolff
• Krystal Woods
• David Lee Word, LCSW
• Worksport Rehabilitation Service
• Grace Yeoman
• Melanie Young, RBT
• Zeilbeck Group Incorporated
• Andrew Thomas Zeilbeck, MASP
• Vivienne Zhang, D.D.S.
• Anjanette Zielinski, N.P.

• Health Educator in La Porte, IN
• Providers in La Porte, IN by specialty
• Health Educator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.