Organization Active NPI

Youth Dynamics, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Billings, MT
National Provider Identifier
1801918966
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
YOUTH DYNAMICS, INC.
Practice address
2334 Lewis Ave
Billings, MT 59102-3927
Phone
(406) 245-6539
Fax
(406) 245-3192
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Mrs. Leslie Falcon
Title
Business Manager
Phone
(406) 245-6539

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 10890 MT
Community/Behavioral Health Agency 251S00000X 10890 MT
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Child Mental Illness Respite Care 385HR2055X 10890 MT

Addresses

Primary practice location

2334 Lewis Ave
Billings, MT 59102-3927

Mailing address

2334 Lewis Ave
Billings, MT 59102-3927
Phone (406) 245-6539

Other identifiers 6

IdentifierTypeStateIssuer
0320411MedicaidMT
0255493MedicaidMT
0320603MedicaidMT
0290428MedicaidMT
0350778MedicaidMT
0502401MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Youth Dynamics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1801918966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 LEWIS AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023927",
            "telephone_number": "406-245-6539",
            "fax_number": "406-245-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 LEWIS AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023927",
            "telephone_number": "406-245-6539",
            "fax_number": "406-245-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DYNAMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-07-16",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "406-245-6539",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MT",
            "license": "10890",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "10890",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "MT",
            "license": "10890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320411",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255493",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320603",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290428",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0350778",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0502401",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.