NPIMap

Organization Active NPI

Youth Health Associates

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Clearfield, UT
National Provider Identifier
1821332040
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
174698787 Issued in UT
Legal business name
YOUTH HEALTH ASSOCIATES
Practice address
430 E 450 S
Clearfield, UT 84015-1736
Phone
(801) 710-7112
NPI assigned
Nov 15, 2012
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Shayne Miller
Title
Cfo
Phone
(801) 330-8845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 174698787 UT Primary

Addresses

Primary practice location

430 E 450 S
Clearfield, UT 84015-1736

Mailing address

520 N Market Place Dr Ste 100
Centerville, UT 84014-4902
Phone (801) 330-8845

National Provider Directory

National Provider Directory
Tax ID family
Youth Health Assaciates13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

430 E 450 S
Clearfield, UT 84015
Phone (801) 776-3305

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1821332040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MARKET PLACE DR STE 100",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840144902",
            "telephone_number": "801-330-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 450 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151736",
            "telephone_number": "801-710-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHAYNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-330-8845"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "174698787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.