Iep Youth Services, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

4140 Issued in NJ

Legal business name

IEP YOUTH SERVICES, INC.

Practice address

75 W Main St
Freehold, NJ 07728-2114

Phone

(732) 431-2663

Fax

(732) 409-3634

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

Sharon B Goldman, CPA

Title

Chief Financial Officer

Phone

(732) 431-2663

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Iep Youth Services 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.

• Iep Youth Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Freehold, NJ
  • NPI 1104184506
  NPD tax ID
• Iep Youth Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Freehold, NJ
  • NPI 1235431412
  NPD tax ID

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932230745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282114",
            "telephone_number": "732-431-2663",
            "fax_number": "732-409-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282114",
            "telephone_number": "732-431-2663",
            "fax_number": "732-409-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IEP YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "732-431-2663",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NJ",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8864101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryam Ibrahim, AGNP-BC
• Ideal Expectations Counseling
• Cathy Ielpi, LAC
• Iep Youth Services, Inc.
• Iep Youth Services, Inc.
• Sharon Ignoscia, SLP
• Im Care Medical Group, LLC
• John Inauen
• Injury Rehab Center, LLC
• Inna Yaskin DO PC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New Jersey

• 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.