NPIMap

Organization Active NPI

Upside to Youth Development L.L.C.

  • Community/Behavioral Health Agency
  • Chesterfield, VA
National Provider Identifier
1982804308
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPSIDE TO YOUTH DEVELOPMENT L.L.C.
Practice address
9401 Courthouse Rd Ste 300
Chesterfield, VA 23832-6686
Phone
(804) 205-1011
Fax
(804) 479-8175
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Mr. Robert Edward Gay Jr.
Title
Chief Executive Officer
Phone
(804) 943-0629

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Methadone Clinic 261QM2800X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Mental Illness Community Based Residential Treatment Facility 320800000X
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

9401 Courthouse Rd Ste 300
Chesterfield, VA 23832-6686

Mailing address

9401 Courthouse Rd Ste 300
Chesterfield, VA 23832-6686
Phone (804) 205-1011

Other practice location 1

12810 Hillcrest Rd Ste B221
Dallas, TX 75230-1525
Phone (804) 943-0629

National Provider Directory

National Provider Directory
Tax ID family
Upside to Youth Development LLC6 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.

Locations

12810 Hillcrest Rd
Ste B221
Dallas, TX 75230
Phone (804) 301-5242

9401 Courthouse Rd
Ste 300
Chesterfield, VA 23832
Phone (804) 205-1011

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1982804308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 COURTHOUSE RD STE 300",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326686",
            "telephone_number": "804-205-1011",
            "fax_number": "804-479-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 COURTHOUSE RD STE 300",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326686",
            "telephone_number": "804-205-1011",
            "fax_number": "804-479-8175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12810 Hillcrest Rd Ste B221",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752301525",
            "country_code": "US",
            "telephone_number": "804-943-0629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPSIDE TO YOUTH DEVELOPMENT L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-943-0629",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "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": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.