NPIMap

Organization Active NPI

Friends of Youth

  • Early Intervention Provider Agency
  • Issaquah, WA
National Provider Identifier
1710294863
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
CO60166490 Issued in WA
Legal business name
FRIENDS OF YOUTH
Practice address
414 Front St N.
Issaquah, WA 98045-0001
Phone
(425) 392-6367
Fax
(425) 391-4971
NPI assigned
Sep 10, 2010
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Mrs. Abigail Leigh McNeil, BS, CDP
Title
Clinical Coordinator Sa
Phone
(425) 392-6367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X CO60166490 WA Primary

Addresses

Primary practice location

414 Front St N.
Issaquah, WA 98045-0001

Mailing address

PO Box 12
414 Front St N
Issaquah, WA 98027-0001
Phone (425) 392-6367

National Provider Directory

National Provider Directory
Tax ID family
Friends of Youth6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

414 Front St N
Issaquah, WA 98027
Phone (425) 392-6367

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1710294863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "address_2": "414 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980270001",
            "telephone_number": "425-392-6367",
            "fax_number": "425-391-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 FRONT ST N.",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980450001",
            "telephone_number": "425-392-6367",
            "fax_number": "425-391-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR SA",
        "authorized_official_telephone_number": "425-392-6367",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, CDP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WA",
            "license": "CO60166490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.