NPIMap

Organization Active NPI

Youth Development Inc

  • Case Management Agency
  • Albuquerque, NM
National Provider Identifier
1699082537
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
101YM0800X Issued in NM
Legal business name
YOUTH DEVELOPMENT INC
Practice address
1710 El Centro Familiar Blvd SW
Albuquerque, NM 87105-4502
Phone
(505) 212-7405
NPI assigned
Sep 13, 2010
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Diana LopezNPI 1356468375
Title
Vice President
Phone
(505) 831-6038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 101YM0800X NM Primary

Addresses

Primary practice location

1710 El Centro Familiar Blvd SW
Albuquerque, NM 87105-4502

Mailing address

6301 Central Ave NW
Albuquerque, NM 87105-2036
Phone (505) 831-6038

National Provider Directory

National Provider Directory
Tax ID family
Alejandra Taype-Miranda10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1699082537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 CENTRAL AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871052036",
            "telephone_number": "505-831-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 EL CENTRO FAMILIAR BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054502",
            "telephone_number": "505-212-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "505-831-6038"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.