YOUTH CONSULTATION SERVICE INC. (NPI# 1063632016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063632016 |
| Entity Type | Organization |
| Organization Name | YOUTH CONSULTATION SERVICE INC. |
| Practice Address |
284 Broadway Newark NJ 07104-4003 |
| Practice Telephone | 9734828411 |
| Mailing Telephone | 9734828411 |
| Mailing Fax Number | 9734822907 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | MR. RICHARD MINGOIA (PRESIDENT CEO) |
| Authorized Official Telephone | 9734828411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 2725 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0125431 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285962910 | Youth Consultation Service Inc. | Psychiatric Residential Treatment Facility | 16 Hollywood Ave, Farmingdale, NJ 07727-3833 | 2009-11-18 |
| 1134370745 | Youth Consultation Service Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 18 Abeel St, New Brunswick, NJ 08901-1303 | 2008-10-02 |
| 1083807655 | Youth Consultation Service Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20 E Evergreen Ave, Somerdale, NJ 08083-1402 | 2007-08-27 |
| Street Address |
284 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831238740 | Youth Consultation Service Inc | Psychiatric Residential Treatment Facility | 284 Broadway, Newark, NJ 07104-4003 | 2007-02-06 |
| 1477004604 | Youth Consultation Service, Inc | In Home Supportive Care | 284 Broadway, Newark, NJ 07104-4003 | 2016-10-24 |
| 1437514171 | Youth Consultation Service Inc | Community/Behavioral Health | 284 Broadway, Newark, NJ 07104-4003 | 2015-12-23 |
| 1538549050 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 284 Broadway, Newark, NJ 07104-4003 | 2015-06-01 |
| 1326452806 | Youth Consultation Service Inc | Community/Behavioral Health | 284 Broadway, Newark, NJ 07104-4003 | 2014-06-12 |
| 1962813204 | Aslam Ali | Behavioral Analyst | 284 Broadway, Newark, NJ 07104-4003 | 2014-05-08 |
| 1639322514 | Joan Everson | Registered Nurse | 284 Broadway, Newark, NJ 07104-4003 | 2008-10-23 |
| 1881739035 | Youth Consultation Service Inc | Community/Behavioral Health | 284 Broadway, Newark, NJ 07104-4003 | 2007-02-21 |
| 1194860353 | Youth Consultation Service Inc | Community/Behavioral Health | 284 Broadway, Newark, NJ 07104-4003 | 2007-02-21 |
| 1407991110 | Youth Consultation Service Inc | Community/Behavioral Health | 284 Broadway, Newark, NJ 07104-4003 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235420787 | Youth Consultation Service | Residential Treatment Facility, Emotionally Disturbed Children | 284 B Roadway, Newark, NJ 07104-4003 | 2011-05-02 |
| 1689883498 | St. Timothy's Group Home for Boys | Residential Treatment Facility, Emotionally Disturbed Children | 25 James St, Newark, NJ 07102-2001 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427519727 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 357 Route 94, Newton, NJ 07860-5136 | 2019-03-28 |
| 1649731290 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 22 Route 519, Newton, NJ 07860-6230 | 2019-03-27 |
| 1639656705 | Devereux Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 124 Wertsville Rd, Hillsborough, NJ 08844-3908 | 2018-07-23 |
| 1164938049 | Saving Grace Ministries Inc | Residential Treatment Facility, Emotionally Disturbed Children | 436 Spruce St, Camden, NJ 08103-2032 | 2017-12-14 |
| 1790235539 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 8 Dugans Grv, Millstone Twp, NJ 08535-8014 | 2016-10-05 |
| 1619421104 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 201 Stillhouse Rd, Millstone Twp, NJ 08510-7967 | 2016-08-12 |
| 1396192886 | Ranch Hope Inc | Residential Treatment Facility, Emotionally Disturbed Children | 45 Sawmill Rd, Alloway, NJ 08001-1004 | 2016-05-16 |
| 1972972164 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 509 Mine Road, Bethlehem Township, NJ 08802 | 2015-09-18 |
| 1548641459 | Allies, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 46 Featherbed Ln, Flemington, NJ 08822-5638 | 2015-06-16 |
| 1760891055 | Therapeutic Alternatives | Residential Treatment Facility, Emotionally Disturbed Children | 20 Hadley Ln, Suite 100, Willingboro, NJ 08046-1701 | 2014-08-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on YOUTH CONSULTATION SERVICE INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.