Youth Services International

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

YOUTH SERVICES INTERNATIONAL

Practice address

202 E North St
Elmore, MN 56027-1007

Phone

(507) 943-3440

Fax

(507) 943-3441

NPI assigned

Apr 23, 2013

Last updated

Apr 23, 2013By 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

Ms. Patty Jean Hanson, MA, LMFT

Title

Mental Health Clinical Director

Phone

(507) 943-3440

Specialties & licenses 1

Addresses

Other names 1

• Elmore Academy Other name

Tax ID family

Athena's Circle of Providence3 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.

• Youth Services International Holdings

  dba Athena's Circle of Providence

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Providence, RI
  • NPI 1407076227
  NPD tax ID
• Youth Services International Thompson Academy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sarasota, FL
  • NPI 1982624821
  NPD tax ID

Locations

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1689018426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E NORTH ST",
            "city": "ELMORE",
            "state": "MN",
            "postal_code": "560271007",
            "telephone_number": "507-943-3440",
            "fax_number": "507-943-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E NORTH ST",
            "city": "ELMORE",
            "state": "MN",
            "postal_code": "560271007",
            "telephone_number": "507-943-3440",
            "fax_number": "507-943-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICES INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "507-943-3440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmore Academy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elmore Ambulance Service

• Emotionally Disturbed Childrens' Residential Treatment Facility in Elmore, MN
• Providers in Elmore, MN by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.