Active NPI
Youth & Family Behavioral Health Center, Inc.
- Community/Behavioral Health Agency
- Fort Pierce, FL
National Provider Identifier
1619420130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.
- Practice address
- 2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795 - Phone
- (772) 242-1079
- NPI assigned
- Aug 2, 2016
- Last updated
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jean Mary Monval, MS
- Title
- Executive Director
- Phone
- (772) 242-1079
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Clinic/Center | 261Q00000X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Health Maintenance Organization | 302R00000X | NU | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795
Mailing address
2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795
Phone (772) 242-1079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018691700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2011 S 25th St
Ste 108
Fort Pierce, FL 34947
Phone (772) 242-1079
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Mental Health Counselor
- Fort Pierce, FL
- NPI 1003224338
-
- Psychiatric/Mental Health Nurse Practitioner
- Key West, FL
- NPI 1346825775
-
- Mental Health Counselor
- Port St Lucie, FL
- NPI 1770170623
-
- Mental Health Counselor
- Melbourne, FL
- NPI 1306557798
-
- Psychiatry Physician
- Fort Pierce, FL
- NPI 1922114289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1619420130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 S 25TH ST STE 108",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474795",
"telephone_number": "772-242-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 S 25TH ST STE 108",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474795",
"telephone_number": "772-242-1079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH & FAMILY BEHAVIORAL HEALTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-02",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MONVAL",
"authorized_official_first_name": "JEAN MARY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "772-242-1079",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018691700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.