The Misunderstood Youth Development Center Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE MISUNDERSTOOD YOUTH DEVELOPMENT CENTER CORPORATION

Practice address

12055 Queens Blvd
Room G-5
Kew Gardens, NY 11424-1015

Phone

(917) 251-2424

Fax

(718) 286-6750

NPI assigned

Oct 1, 2012

Last updated

Jun 24, 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

Terryl Ebony De Mendonca

Title

Executive Director

Phone

(718) 286-6769

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1710238720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12055 QUEENS BLVD",
            "address_2": "ROOM G-5",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114241015",
            "telephone_number": "917-251-2424",
            "fax_number": "718-286-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12055 QUEENS BLVD",
            "address_2": "ROOM G-5",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114241015",
            "telephone_number": "917-251-2424",
            "fax_number": "718-286-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MISUNDERSTOOD YOUTH DEVELOPMENT CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "DE MENDONCA",
        "authorized_official_first_name": "TERRYL",
        "authorized_official_middle_name": "EBONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-286-6769"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Kew Gardens, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.