Youth Care Center Incorporated

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

YOUTH CARE CENTER INCORPORATED

Practice address

1504 S Salisbury Blvd Ste 22
Salisbury, MD 21801-7165

Phone

(443) 914-2922

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Shawn Johnson

Title

Executive Director

Phone

(443) 944-1118

Specialties & licenses 3

Addresses

Other identifiers 2

Tax ID family

Youth Care Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Youth Care Center Inc

  • Clinical Social Worker
  • Snow Hill, MD
  • NPI 1164806808
  NPD tax ID
• Youth Care Center Inc

  • Community/Behavioral Health Agency
  • Salisbury, MD
  • NPI 1952823957
  NPD tax ID
• Youth Care Center Incorporated

  • Adolescent and Children Mental Health Clinic/Center
  • Salisbury, MD
  • NPI 1912542473
  NPD tax ID

Locations

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1669970331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 MARKET ST",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218634413",
            "telephone_number": "443-914-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 S SALISBURY BLVD STE 22",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017165",
            "telephone_number": "443-914-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CARE CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-944-1118"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952823957",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164806808",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Young
• Olivia R Young, RDN
• Tameka Michelle Young, LMSW
• Adnan Younus, MD
• Youth Care Center Inc
• Youth Care Center Incorporated
• Jason Gershon Yudkowsky
• Alicia Nicole Zahn, M.S., LGPC, NCC
• Julius David Zant, MD
• Stacy M Zarzuela, PA

• Addiction (Substance Use Disorder) Counselor in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.