Northeast Center for Youth and Families, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTHEAST CENTER FOR YOUTH AND FAMILIES, INC.

Practice address

203 East St
Easthampton, MA 01027-1234

Phone

(413) 529-7777

Fax

(413) 529-7776

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Rilla

Title

Executive Director

Phone

(413) 529-7334

Specialties & licenses 5

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Northeast Center for Youth and Families6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Northeast Center for Youth and Families

  • Community/Behavioral Health Agency
  • Easthampton, MA
  • NPI 1134556244
  NPD tax ID
• Northeast Center for Youth and Families

  • Community/Behavioral Health Agency
  • Easthampton, MA
  • NPI 1619390531
  NPD tax ID
• Northeast Center for Youth and Families

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Easthampton, MA
  • NPI 1679995898
  NPD tax ID
• Northeast Center for Youth and Families

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Easthampton, MA
  • NPI 1740601400
  NPD tax ID
• Northeast Center for Youth and Families

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Mansfield, CT
  • NPI 1467635326
  NPD tax ID

Locations

Practitioners 2

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

• Jennifer Lobik, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenfield, MA
  • NPI 1558772392
  Medicare reassignment NPD
• Neil Ryan King, M.D.

  • Child & Adolescent Psychiatry Physician
  • Hartford, CT
  • NPI 1760602650
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1861522757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 EAST ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271234",
            "telephone_number": "413-529-7777",
            "fax_number": "413-529-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 EAST ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271234",
            "telephone_number": "413-529-7777",
            "fax_number": "413-529-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CENTER FOR YOUTH AND FAMILIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "RILLA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-529-7334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEC LICENSE #",
            "identifier": "1475675",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEC LICENSE #",
            "identifier": "1475325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEC LICENSE #",
            "identifier": "1475778",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET ID",
            "identifier": "31358",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEC LICENSE #",
            "identifier": "1475674",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF LICENSE #",
            "identifier": "CCF GH-89",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEC LICENSE #",
            "identifier": "1475703",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP ID",
            "identifier": "1899791",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Muriel Nicol, RN
• Northeast Center for Youth and Families
• Northeast Center for Youth and Families
• Northeast Center for Youth and Families
• Northeast Center for Youth and Families
• Susan Elizabeth O'Brien, MA COUNS & PSYCH
• Michelle O'Connell, CD
• Kimberly Ann O'Leary, MED, LATC
• Theodore Joseph Olejnik, LICSW
• Emmanuel Oppong

• Community/Behavioral Health Agency in Easthampton, MA
• Providers in Easthampton, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.