Active NPI
Youth Emergency Services
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Gillette, WY
National Provider Identifier
1649493453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- YOUTH EMERGENCY SERVICES
- Practice address
- 706 Longmont St
Gillette, WY 82716-2927 - Phone
- (307) 686-0669
- Fax
- (307) 686-2121
- NPI assigned
- Apr 10, 2007
- 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
- Mrs. Sherilyn England
- Title
- Excutive Director
- Phone
- (307) 686-0669
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | WY | Primary |
Addresses
Primary practice location
706 Longmont St
Gillette, WY 82716-2927
Mailing address
706 Longmont St
Gillette, WY 82716-2927
Phone (307) 682-8218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118867400 | Medicaid | WY |
National Provider Directory
National Provider Directory- Tax ID family
- Yes House
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Gillette, WY
- NPI 1225412646
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Gillette, WY
- NPI 1336393834
Locations
706 Longmont St
Gillette, WY 82716
Phone (307) 686-0669
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Cody, WY
- NPI 1649507658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226361600000",
"number": "1649493453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 LONGMONT ST",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827162927",
"telephone_number": "307-682-8218",
"fax_number": "307-686-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 LONGMONT ST",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827162927",
"telephone_number": "307-686-0669",
"fax_number": "307-686-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH EMERGENCY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2008-11-11",
"status": "A",
"authorized_official_last_name": "ENGLAND",
"authorized_official_first_name": "SHERILYN",
"authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
"authorized_official_telephone_number": "307-686-0669",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "WY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118867400",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.