Upper Moreland Youth & Drug Council, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UPPER MORELAND YOUTH & DRUG COUNCIL, INC.

Doing business as

Aldersgate Youth Service Bureau

Practice address

42 York Rd
Willow Grove, PA 19090-3415

Phone

(215) 657-4545

Fax

(267) 518-0009

NPI assigned

Oct 31, 2007

Last updated

May 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Miringoff

Title

Executive Director

Phone

(215) 657-4545

Specialties & licenses 2

Addresses

Other names 1

• Aldersgate Youth Service Bureau Doing business as

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1679752216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 YORK RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190903415",
            "telephone_number": "215-657-4545",
            "fax_number": "267-518-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 YORK RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190903415",
            "telephone_number": "215-657-4545",
            "fax_number": "267-518-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER MORELAND YOUTH & DRUG COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "MIRINGOFF",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-657-4545"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aldersgate Youth Service Bureau",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aldersgate Youth Service Bureau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.