NPIMap

Organization Active NPI

Clarinda Youth Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Clarinda, IA
National Provider Identifier
1659632107
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CLARINDA YOUTH CORPORATION
Doing business as
Clarinda Academy
Practice address
1820 N 16TH St
Clarinda, IA 51632-1165
Phone
(712) 542-3103
Fax
(712) 542-6145
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Gordon Charles Reed
Title
President
Phone
(712) 542-3103

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 08601 IA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 29423 IA
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1820 N 16TH St
Clarinda, IA 51632-1165

Mailing address

PO Box 71602
Clive, IA 50325-0602
Phone (515) 243-2057

Other names 1

  • Clarinda Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarinda Academy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1820 N 16th St
Clarinda, IA 51632
Phone (712) 542-3103

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1659632107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71602",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503250602",
            "telephone_number": "515-243-2057",
            "fax_number": "515-244-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N 16TH ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516321165",
            "telephone_number": "712-542-3103",
            "fax_number": "712-542-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARINDA YOUTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-542-3103"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08601",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "29423",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarinda Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarinda, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.