Organization Active NPI

Catawba Youth Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hickory, NC
National Provider Identifier
1811038995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL018066 Issued in NC
Legal business name
CATAWBA YOUTH SERVICES, INC.
Practice address
1822 Kincaid CT
Hickory, NC 28602-5546
Phone
(828) 294-0731
Fax
(828) 324-7354
NPI assigned
Feb 9, 2007
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
Mrs. Vanessa Evans Linebarger, MSW,ACSW,LCSWNPI 1417266008
Title
Program Director
Phone
(828) 324-5463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL018066 NC Primary

Addresses

Primary practice location

1822 Kincaid CT
Hickory, NC 28602-5546

Mailing address

PO Box 2681
Hickory, NC 28603-2681
Phone (828) 324-5463

Other identifiers 1

IdentifierTypeStateIssuer
6603310MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Catawba Youth Services 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811038995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2681",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032681",
            "telephone_number": "828-324-5463",
            "fax_number": "828-324-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 KINCAID CT",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025546",
            "telephone_number": "828-294-0731",
            "fax_number": "828-324-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINEBARGER",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "828-324-5463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW,ACSW,LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL018066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603310",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

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.