Active NPI
Youth Education and Social Services
- Community/Behavioral Health Agency
- Goodyear, AZ
National Provider Identifier
1700236296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.