NPIMap

Organization Active NPI

Keystone Continuum, LLC

Doing business as Mountain Youth Academy

  • Psychiatric Residential Treatment Facility
  • Mountain City, TN
National Provider Identifier
1750304044
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
L237M20661497 Issued in TN
Legal business name
KEYSTONE CONTINUUM, LLC
Doing business as
Mountain Youth Academy
Practice address
332 Hospital Rd
Mountain City, TN 37683-4309
Phone
(423) 727-9898
Fax
(423) 727-9899
NPI assigned
Jul 26, 2006
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Paul Kirkham
Title
Administrator
Phone
(423) 727-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X L237M20661497 TN Primary

Addresses

Primary practice location

332 Hospital Rd
Mountain City, TN 37683-4309

Mailing address

332 Hospital Rd
PO Box 58
Mountain City, TN 37683-4309
Phone (423) 727-9898

Other names 1

  • Mountain Youth Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Keystone Continuum LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1750304044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HOSPITAL RD",
            "address_2": "PO BOX 58",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376834309",
            "telephone_number": "423-727-9898",
            "fax_number": "423-727-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HOSPITAL RD",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376834309",
            "telephone_number": "423-727-9898",
            "fax_number": "423-727-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CONTINUUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-727-9898"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "TN",
            "license": "L237M20661497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Youth Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.