Active NPI
Youth & Family Alliance, Inc.
- Community/Behavioral Health Agency
- Wilmington, NC
National Provider Identifier
1457637316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH071-029
- Legal business name
- YOUTH & FAMILY ALLIANCE, INC.
- Practice address
- 2600 New Village Way
Wilmington, NC 28405-7426 - Phone
- (910) 251-5858
- Fax
- (910) 251-5893
- NPI assigned
- Oct 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy Y McDonald, PHD
- Title
- President/Ceo
- Phone
- (910) 251-5858
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC4195 | NC | |
| Community/Behavioral Health Agency | 251S00000X | MH071-029 | Primary |
Addresses
Primary practice location
2600 New Village Way
Wilmington, NC 28405-7426
Mailing address
2600 New Village Way
Wilmington, NC 28405-7426
Phone (910) 251-5858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6602133 | Medicaid | NC | |
| 6008126 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Youth Family Alliance Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Castle Hayne, NC
- NPI 1003914631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319414400000",
"number": "1457637316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 NEW VILLAGE WAY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284057426",
"telephone_number": "910-251-5858",
"fax_number": "910-251-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 NEW VILLAGE WAY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284057426",
"telephone_number": "910-251-5858",
"fax_number": "910-251-5893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH & FAMILY ALLIANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "910-251-5858",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC4195",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": "MH071-029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6602133",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6008126",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Rebecca Mackenzie Young, LCSWA
- Robert Lee Young, DO
- Tori Young, AGNP-C, BSN, RN
- Hiba Mohamed Younis
- Carley Yount
- Youth Ehancement Alternative Homes,LLC
- Youth Enhancement Alternative Homes LLC
- Youth Enhancement Alternative Homes, LLC
- Youth Enhancement Alternative Homes, LLC
- Elizabeth N. Yow, LCAS, MSW, PLCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.