The Agency for Youth and Family Development

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

L237M30176449 Issued in TN

Legal business name

THE AGENCY FOR YOUTH AND FAMILY DEVELOPMENT

Practice address

1071 Mullins Station Rd
Memphis, TN 38134-7723

Phone

(901) 387-5840

Fax

(901) 387-5739

NPI assigned

Sep 12, 2007

Organization subpart

Yes

Parent organization

THE AGENCY FOR YOUTH AND FAMILY DEVELOPMENTAs reported in NPPES

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

Authorized official

Name

Dr. Gerald Jerome Jordan, THD

Title

Ceo

Phone

(901) 387-5840

Specialties & licenses 1

Addresses

Tax ID family

Agency for Youth and Family Development2 organizations share this tax ID, including this one

Part of

Agency for Youth and Family Development

Other organizations with this tax ID 1

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

• Agency for Youth and Family Development

  dba Aragon Academy

  • Psychiatric Residential Treatment Facility
  • Norman, OK
  • NPI 1467525105
  NPD tax ID

Locations

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1861687899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 MULLINS STATION RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347723",
            "telephone_number": "901-387-5840",
            "fax_number": "901-387-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 MULLINS STATION RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347723",
            "telephone_number": "901-387-5840",
            "fax_number": "901-387-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AGENCY FOR YOUTH AND FAMILY DEVELOPMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE AGENCY FOR YOUTH AND FAMILY DEVELOPMENT",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-387-5840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "THD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TN",
            "license": "L237M30176449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Tharpe Jr., LMSW
• Shundraneka L Thaxter, PHARM D
• Braden Thomas Thayer, DMD
• Jane J. Thayer, DNP, ACNP
• The Abc's of Quality Care
• The Akeso Group
• The Akeso Group
• The Arthritis Group PC
• The Bay at Highlands Health and Rehabilitation Center LLC (Highlands Health and Rehabilitation Center)
• The Bellevue Clinic, PC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.