NPIMap

Organization Active NPI

Youth Opportunity Center

  • Health Service Psychologist
  • New Castle, IN
National Provider Identifier
1720436488
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
20042451 Issued in IN
Legal business name
YOUTH OPPORTUNITY CENTER
Practice address
103 W County Road 100 N
New Castle, IN 47362-8965
Phone
(765) 289-5437
NPI assigned
Jun 2, 2016
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Mrs. Paula D Anderson, M.A., OHCC
Title
Director of Compliance
Phone
(765) 289-5437

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 20042827 IN
Health Service Psychologist 103TH0100X 20042841 IN
Health Service Psychologist 103TH0100X 20042451 IN Primary
Psychiatry Physician 2084P0800X 01038611 IN

Addresses

Primary practice location

103 W County Road 100 N
New Castle, IN 47362-8965

Mailing address

3700 W Kilgore Ave
Muncie, IN 47304-4810
Phone (765) 289-5437

National Provider Directory

National Provider Directory
Tax ID family
Youth Opportunity Center Inc6 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

103 W County Road 100 N
New Castle, IN 47362
Phone (765) 289-5437

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1720436488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W KILGORE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044810",
            "telephone_number": "765-289-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W COUNTY ROAD 100 N",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473628965",
            "telephone_number": "765-289-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH OPPORTUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "765-289-5437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., OHCC"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20042827",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20042841",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20042451",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01038611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.