Organization Active NPI

Youth and Family Centered Services of FL, Inc.

  • Psychiatric Residential Treatment Facility
  • Riverview, FL
National Provider Identifier
1790725406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
0605-39 Issued in FL
Legal business name
YOUTH AND FAMILY CENTERED SERVICES OF FL, INC.
Practice address
12012 Boyette Road
Riverview, FL 33569-5631
Phone
(813) 677-6700
Fax
(813) 671-3145
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ana M Genne
Title
Cfo
Phone
(813) 677-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 0605-39 FL Primary

Addresses

Primary practice location

12012 Boyette Road
Riverview, FL 33569-5631

Mailing address

12012 Boyette Road
Riverview, FL 33569-5631
Phone (813) 677-6700

Other names 1

  • Tampa Bay Academy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790725406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12012 BOYETTE ROAD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695631",
            "telephone_number": "813-677-6700",
            "fax_number": "813-671-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 BOYETTE ROAD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695631",
            "telephone_number": "813-677-6700",
            "fax_number": "813-671-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH AND FAMILY CENTERED SERVICES OF FL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENNE",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-677-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "0605-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Bay Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.