Active NPI
Youth Dynamics, Inc.
- Mental Illness Community Based Residential Treatment Facility
- Billings, MT
National Provider Identifier
1801918966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0320411 | Medicaid | MT | |
| 0255493 | Medicaid | MT | |
| 0320603 | Medicaid | MT | |
| 0290428 | Medicaid | MT | |
| 0350778 | Medicaid | MT | |
| 0502401 | Medicaid | MT |
National Provider Directory
National Provider Directory- Tax ID family
- Youth Dynamics Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Billings, MT
- NPI 1821630021
-
- Professional Counselor
- Billings, MT
- NPI 1902025067
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.