NPIMap

Organization Active NPI

South Arkansas Youth Services, Inc.

  • Case Management Agency
  • Camden, AR
National Provider Identifier
1699004440
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTH ARKANSAS YOUTH SERVICES, INC.
Practice address
301 W Washington St # a
Camden, AR 71701-3959
Phone
(870) 836-2321
Fax
(870) 837-1195
NPI assigned
Dec 8, 2009
Last updated
Dec 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Mrs. Angie M Rich, LPC, LADAC
Title
Clinic Administrator/ Therapist
Phone
(870) 836-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

301 W Washington St # a
Camden, AR 71701-3959

Mailing address

301A Washington Street
Camden, AR 71701
Phone (870) 836-2321

National Provider Directory

National Provider Directory

Locations

301 W Washington St
#A
Camden, AR 71701
Phone (870) 836-2321

301A W Washington St
Camden, AR 71701
Phone (870) 807-0593

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1699004440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301A WASHINGTON STREET",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "71701",
            "telephone_number": "870-836-2321",
            "fax_number": "870-837-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W WASHINGTON ST # A",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013959",
            "telephone_number": "870-836-2321",
            "fax_number": "870-837-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR/ THERAPIST",
        "authorized_official_telephone_number": "870-836-2321",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LADAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.