NPIMap

Organization Active NPI

Scott Greening Center for Youth Dependency, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Joplin, MO
National Provider Identifier
1922077932
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
3097-7878 Issued in MO
Legal business name
SCOTT GREENING CENTER FOR YOUTH DEPENDENCY, INC.
Practice address
1315 E 20TH St
Joplin, MO 64804-0925
Phone
(417) 623-1990
Fax
(417) 623-9931
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Leslie House
Title
Director of Operations
Phone
(417) 623-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 3097-7878 MO Primary

Addresses

Primary practice location

1315 E 20TH St
Joplin, MO 64804-0925

Mailing address

PO Box 2187
1315 E. 20TH Street
Joplin, MO 64803-2187
Phone (417) 623-1990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922077932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2187",
            "address_2": "1315 E. 20TH STREET",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032187",
            "telephone_number": "417-623-1990",
            "fax_number": "417-623-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040925",
            "telephone_number": "417-623-1990",
            "fax_number": "417-623-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT GREENING CENTER FOR YOUTH DEPENDENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "417-623-1990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MO",
            "license": "3097-7878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.