NPIMap

Organization Active NPI

United Methodist Youthville Inc

  • Psychiatric Residential Treatment Facility
  • Newton, KS
National Provider Identifier
1497879985
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
0015391009 Issued in KS
Legal business name
UNITED METHODIST YOUTHVILLE INC
Practice address
900 W Broadway St
Newton, KS 67114-2037
Phone
(316) 283-1950
Fax
(316) 283-9540
NPI assigned
Mar 19, 2007
Organization subpart
Yes
Parent organization
UNITED METHODIST YOUTHVILLE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Mr. Toyia A Bulla
Title
Chief Financial Officer
Phone
31645299100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0015391-001 KS
Case Management Agency 251B00000X 771-1 KS
Psychiatric Residential Treatment Facility 323P00000X 0015391009 KS Primary

Addresses

Primary practice location

900 W Broadway St
Newton, KS 67114-2037

Mailing address

4505 E 47TH St S
Wichita, KS 67210-1651
Phone (316) 529-9100

Other identifiers 1

IdentifierTypeStateIssuer
100007290BMedicaidKS

Other names 1

  • Youthville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Methoidst Youthville11 organizations share this tax ID, including this one
Part of
United Methoidst Youthville

Other organizations with this tax ID 10

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

Locations

4505 E 47th St S
Wichita, KS 67210
Phone (316) 529-9100

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1497879985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 E 47TH ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101651",
            "telephone_number": "316-529-9100",
            "fax_number": "316-529-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W BROADWAY ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142037",
            "telephone_number": "316-283-1950",
            "fax_number": "316-283-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST YOUTHVILLE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED METHODIST YOUTHVILLE INC",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "BULLA",
        "authorized_official_first_name": "TOYIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "31645299100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KS",
            "license": "0015391-001",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KS",
            "license": "771-1",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KS",
            "license": "0015391009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100007290B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youthville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.