Organization Active NPI

Youth Education and Social Services

  • Community/Behavioral Health Agency
  • Goodyear, AZ
National Provider Identifier
1700236296
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH EDUCATION AND SOCIAL SERVICES
Practice address
888 S 165TH LN
Goodyear, AZ 85338-6013
Phone
(480) 688-8455
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Megan M. McGlynn, PHD
Title
Ceo/President
Phone
(480) 688-8455

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Voluntary or Charitable Agency 251V00000X
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

888 S 165TH LN
Goodyear, AZ 85338-6013

Mailing address

625 W Southern Ave # E-131
Mesa, AZ 85210-5030
Phone (480) 688-8455

National Provider Directory

National Provider Directory

Locations

625 W Southern Ave
#E131
Mesa, AZ 85210

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1700236296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W SOUTHERN AVE # E-131",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105030",
            "telephone_number": "480-688-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S 165TH LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386013",
            "telephone_number": "480-688-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EDUCATION AND SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "MCGLYNN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "480-688-8455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.