NPIMap

Organization Active NPI

Youth Progress Association

  • Behavior Analyst
  • Portland, OR
National Provider Identifier
1487080206
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
YOUTH PROGRESS ASSOCIATION
Practice address
2333 SE 12TH Ave
Portland, OR 97214-5323
Phone
(503) 235-0031
NPI assigned
Sep 25, 2013
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Charlotte MeardonNPI 1013791987
Title
Executive Director
Phone
(503) 233-6121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2333 SE 12TH Ave
Portland, OR 97214-5323

Mailing address

12141 NE Halsey St
Portland, OR 97220
Phone (503) 984-5961

National Provider Directory

National Provider Directory

Locations

12141 NE Halsey St
Portland, OR 97220
Phone (503) 233-6121

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1487080206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-984-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145323",
            "telephone_number": "503-235-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH PROGRESS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "MEARDON",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-233-6121"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.