Organization Active NPI

Youth & Family Alliance, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1457637316
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Oct 24, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6602133MedicaidNC
6008126MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Youth Family Alliance Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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

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.

Verify at the official NPI Registry.