Coordinated Youth and Human Services

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COORDINATED YOUTH AND HUMAN SERVICES

Practice address

2016 Madison Ave
Granite City, IL 62040-4657

Phone

(618) 876-2383

Fax

(618) 876-4952

NPI assigned

May 21, 2014

Last updated

Nov 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bobbie Smith

Title

Executive Director

Phone

(618) 876-2383

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Emily Sisk, MS, RD, LDN, IBCLC

  • Lactation Consultant (Non-RN)
  • Granite City, IL
  • NPI 1033914262
  NPD (past)

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1639581937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404657",
            "telephone_number": "618-876-2383",
            "fax_number": "618-876-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404657",
            "telephone_number": "618-876-2383",
            "fax_number": "618-876-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED YOUTH AND HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-876-2383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarkson Optometry Illinois PC (Clarkson Eyecare)
• Clarkson Optometry Illinois, P.C. (Clarkson Eyecare)
• Elizabeth Cline
• Clinical Counseling Associates, Inc (Clinical Counseling Associates)
• Stephen Conway
• Rick Corbett, CRNA
• Crisale Cosas, MD
• Reegan Countryman
• County of Madison Granite City Com Unit SCH Dist 9
• Sabryn Cox

• Community Health Clinic/Center in Granite City, IL
• Providers in Granite City, IL by specialty
• Community Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.