NPIMap

Organization Active NPI

Upside to Youth Development, LLC

  • Community/Behavioral Health Agency
  • Hopewell, VA
National Provider Identifier
1659693034
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1082-05 Issued in VA
Legal business name
UPSIDE TO YOUTH DEVELOPMENT, LLC
Practice address
222 N Main St
Suite 312
Hopewell, VA 23860-2712
Phone
(804) 541-7894
Fax
(804) 841-7895
NPI assigned
Feb 25, 2010
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Mr. Brandon C Hudson
Title
Ceo
Phone
(804) 541-7894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1082-05 VA Primary

Addresses

Primary practice location

222 N Main St
Suite 312
Hopewell, VA 23860-2712

Mailing address

222 N Main St
Suite 312
Hopewell, VA 23860-2712
Phone (804) 541-7894

Other identifiers 1

IdentifierTypeStateIssuer
1082OtherVADBDS

National Provider Directory

National Provider Directory
Tax ID family
Upside to Youth Development LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

222 N Main St
Ste 312
Hopewell, VA 23860
Phone (804) 541-7894

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1659693034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MAIN ST",
            "address_2": "SUITE 312",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602712",
            "telephone_number": "804-541-7894",
            "fax_number": "804-841-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MAIN ST",
            "address_2": "SUITE 312",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602712",
            "telephone_number": "804-541-7894",
            "fax_number": "804-841-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSIDE TO YOUTH DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-541-7894",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1082-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBDS",
            "identifier": "1082",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.