Organization Active NPI

Youth Image, Inc.

  • Community/Behavioral Health Agency
  • Morganton, NC
National Provider Identifier
1831215516
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH IMAGE, INC.
Practice address
116 S Sterling St
Morganton, NC 28655-3445
Phone
(828) 433-4485
Fax
(828) 433-4486
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Ms. Brenda Brown
Title
Vice President
Phone
(828) 433-4485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

116 S Sterling St
Morganton, NC 28655-3445

Mailing address

PO Box 914
Morganton, NC 28680-0914
Phone (828) 433-4485

Other identifiers 1

IdentifierTypeStateIssuer
8301655BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Youth Image 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.

Locations

116 S Sterling St
Morganton, NC 28655
Phone (828) 433-4485

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1831215516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286800914",
            "telephone_number": "828-433-4485",
            "fax_number": "828-433-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553445",
            "telephone_number": "828-433-4485",
            "fax_number": "828-433-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH IMAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "828-433-4485",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301655B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.