Organization Active NPI

Monongalia County Youth Service Center, Inc.

  • Community/Behavioral Health Agency
  • Morgantown, WV
National Provider Identifier
1619135167
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MONONGALIA COUNTY YOUTH SERVICE CENTER, INC.
Practice address
440 Elmer Prince Dr
Morgantown, WV 26505-3273
Phone
(304) 599-2293
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Ms. Cristy Riggs, LSW
Title
Executive Director
Phone
(304) 599-2293

Specialties & licenses 1

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

Addresses

Primary practice location

440 Elmer Prince Dr
Morgantown, WV 26505-3273

Mailing address

440 Elmer Prince Dr
Morgantown, WV 26505-3273
Phone (304) 599-2293

Other identifiers 1

IdentifierTypeStateIssuer
0158457001MedicaidWV

National Provider Directory

National Provider Directory

Locations

440 Elmer Prince Dr
Morgantown, WV 26505
Phone (304) 599-2293

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1619135167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 ELMER PRINCE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053273",
            "telephone_number": "304-599-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ELMER PRINCE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053273",
            "telephone_number": "304-599-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONONGALIA COUNTY YOUTH SERVICE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "CRISTY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-599-2293",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158457001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.