NPIMap

Organization Active NPI

Youth Development, Inc

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1447584610
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0069042 Issued in NM
Legal business name
YOUTH DEVELOPMENT, INC
Practice address
6301 CTRL Ave SW
Albuquerque, NM 87105-2036
Phone
(505) 831-6038
Fax
(505) 232-9017
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Ms. Imani Turtle-Song, LPCC
Title
Clinical Therapist
Phone
(505) 232-9015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0069042 NM Primary

Addresses

Primary practice location

6301 CTRL Ave SW
Albuquerque, NM 87105-2036

Mailing address

6301 CTRL Ave SW
Albuquerque, NM 87105-2036
Phone (505) 831-6038

National Provider Directory

National Provider Directory
Tax ID family
Youth Development Icorperated10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1447584610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 CTRL AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871052036",
            "telephone_number": "505-831-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 CTRL AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871052036",
            "telephone_number": "505-831-6038",
            "fax_number": "505-232-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DEVELOPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "TURTLE-SONG",
        "authorized_official_first_name": "IMANI",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "505-232-9015",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0069042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.