NPIMap

Organization Active NPI

Youth Extensions Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1730500661
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH EXTENSIONS INC.
Practice address
1804 Martin Luther King Pkwy Ste 112
Durham, NC 27707-3587
Phone
(919) 246-5664
NPI assigned
Dec 19, 2013
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Joseph McCauley
Title
Ceo
Phone
(919) 246-5664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1804 Martin Luther King Pkwy Ste 112
Durham, NC 27707-3587

Mailing address

1303 Jackson St
Durham, NC 27701-3046
Phone (919) 246-5664

National Provider Directory

National Provider Directory
Tax ID family
Youth Extensions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5300 Atlantic Ave
Ste L
Raleigh, NC 27609

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1730500661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 JACKSON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013046",
            "telephone_number": "919-246-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 MARTIN LUTHER KING PKWY STE 112",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073587",
            "telephone_number": "919-246-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EXTENSIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-246-5664"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.