Upstate Institute of Youth Programs, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

UPSTATE INSTITUTE OF YOUTH PROGRAMS, INC.

Practice address

119 Andrew Dr
Seneca, SC 29678-2908

Phone

(864) 376-0691

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Thwanda Davidson, ED.D.

Title

Executive Director

Phone

(864) 376-0691

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1528248408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ANDREW DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782908",
            "telephone_number": "864-376-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 ANDREW DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782908",
            "telephone_number": "864-376-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE INSTITUTE OF YOUTH PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "THWANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-376-0691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Seneca, SC
• Providers in Seneca, SC by specialty
• Public Health or Welfare Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.