Active NPI
Newpath Youth Services Inc.
- Mental Illness Community Based Residential Treatment Facility
- Salisbury, NC
National Provider Identifier
1669525374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- MHL-080-122
- Legal business name
- NEWPATH YOUTH SERVICES INC.
- Practice address
- 712 W Fisher St
Salisbury, NC 28144-4118 - Phone
- (704) 645-8888
- Fax
- (704) 645-8900
- NPI assigned
- Jan 18, 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
- Mr. Rick Taylor
- Title
- Owner
- Phone
- (704) 309-3758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL-080-122 | NC | Primary |
Addresses
Primary practice location
712 W Fisher St
Salisbury, NC 28144-4118
Mailing address
421 N Long St
P.O. Box 4084
Salisbury, NC 28144-4428
Phone (704) 645-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603199 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Newpath Youth Services Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Monroe, NC
- NPI 1437885522
-
- Mental Illness Community Based Residential Treatment Facility
- Shelby, NC
- NPI 1760535579
-
- Mental Illness Community Based Residential Treatment Facility
- Salisbury, NC
- NPI 1912050741
-
- Mental Illness Community Based Residential Treatment Facility
- Concord, NC
- NPI 1932252715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1669525374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 N LONG ST",
"address_2": "P.O. BOX 4084",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281444428",
"telephone_number": "704-645-8888",
"fax_number": "704-645-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 W FISHER ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281444118",
"telephone_number": "704-645-8888",
"fax_number": "704-645-8900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWPATH YOUTH SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-309-3758",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NC",
"license": "MHL-080-122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603199",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.