I'M a Star Youth and Family Services Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

I'M A STAR YOUTH AND FAMILY SERVICES INC

Practice address

4007 W North Ave
Milwaukee, WI 53208-1318

Phone

(414) 888-1710

NPI assigned

Dec 25, 2019

Last updated

Dec 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shakinas Robinson

Title

Authorized Agent

Phone

(414) 888-1710

Specialties & licenses 1

Addresses

Other names 1

• I'm a Star YFS Inc. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shakina S Robinson

  • Case Manager/Care Coordinator
  • Milwaukee, WI
  • NPI 1609415306
  NPD

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1477192359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 N 46TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101727",
            "telephone_number": "414-888-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081318",
            "telephone_number": "414-888-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I'M A STAR YOUTH AND FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-25",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHAKINAS",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "414-888-1710"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I'm a Star YFS Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Point of Service in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Point of Service in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.