NPIMap

Organization Active NPI

Family and Youth Intervention Services

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1609188853
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY AND YOUTH INTERVENTION SERVICES
Practice address
5037 S 24TH St Ste 2
Phoenix, AZ 85040-2604
Phone
(602) 282-8836
NPI assigned
Jul 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Michael Russell Baines
Title
Dir
Phone
(918) 852-4695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OK Primary

Addresses

Primary practice location

5037 S 24TH St Ste 2
Phoenix, AZ 85040-2604

Mailing address

PO Box 842
Oologah, OK 74053-0842
Phone (188) 524-6959

National Provider Directory

National Provider Directory
Tax ID family
Restorer of Youth and Families LLC2 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.

Locations

5037 S 24th St
Ste 2
Phoenix, AZ 85040
Phone (602) 282-8836

1217 E 33rd St
Tulsa, OK 74105
Phone (918) 779-4556

5553 S Peoria Ave
Ste 106
Tulsa, OK 74105
Phone (918) 277-5781

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1278201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1609188853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740530842",
            "telephone_number": "188-524-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5037 S 24TH ST STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402604",
            "telephone_number": "602-282-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND YOUTH INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-04",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "BAINES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DIR",
        "authorized_official_telephone_number": "918-852-4695"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.