NPIMap

Organization Active NPI

Centers for Youth and Families

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Monticell, AR
National Provider Identifier
1841448966
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CENTERS FOR YOUTH AND FAMILIES
Practice address
936 Jordan Drive
Monticell, AR 71657
Phone
(870) 460-0046
Fax
(870) 460-0185
NPI assigned
Sep 3, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTERS FOR YOUTH AND FAMILIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Mrs. Barbara McCory, CPA
Title
Chief Financial Officer
Phone
(501) 666-8686

Specialties & licenses 1

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

Addresses

Primary practice location

936 Jordan Drive
Monticell, AR 71657

Mailing address

PO Box 251970
Little Rock, AR 72225-1970
Phone (501) 666-8686

Other identifiers 1

IdentifierTypeStateIssuer
167626125MedicaidAR

Other names 1

  • Southeast Arkansas Residential Treatment Facility Other name

National Provider Directory

National Provider Directory
Tax ID family
CTRS for Youth and Families16 organizations share this tax ID, including this one
Part of
CTRS for Youth and Families

Other organizations with this tax ID 15

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

View all 15

Locations

6501 W 12th St
Little Rock, AR 72204

936 Jordan Dr
Monticello, AR 71655
Phone (870) 460-0066

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1841448966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251970",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251970",
            "telephone_number": "501-666-8686",
            "fax_number": "501-660-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 JORDAN DRIVE",
            "city": "MONTICELL",
            "state": "AR",
            "postal_code": "71657",
            "telephone_number": "870-460-0046",
            "fax_number": "870-460-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR YOUTH AND FAMILIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERS FOR YOUTH AND FAMILIES",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "MCCORY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "501-666-8686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167626125",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Arkansas Residential Treatment Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.