DEPARTMENT OF YOUTH REHABILITATION SERVICES (NPI# 1063643880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063643880 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF YOUTH REHABILITATION SERVICES |
| Practice Address |
1000 Mount Olivet Rd Ne Washington DC 20002-2210 |
| Practice Telephone | 2025768405 |
| Practice Fax Number | 2025768457 |
| Mailing Telephone | 2025768405 |
| Mailing Fax Number | 2025768457 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | DR. ANDREA WEISMAN (CHIEF OF HEALTH SERVICES) |
| Authorized Official Telephone | 2025768139 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
261QP2400X | DC | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF YOUTH REHABILITATION SERVICES | 450 H St Nw 2000, Washington, DC 20001-2627 |
| Street Address |
1000 MOUNT OLIVET RD NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740996 | Calvin Ivy Masse | Psychologist | 1000 Mount Olivet Rd Ne, Washington, DC 20002-2210 | 2020-05-04 |
| 1184051062 | Theresa Kelly-holmes | Psychologist | 1000 Mount Olivet Rd Ne, Washington, DC 20002-2210 | 2013-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484569 | Curative Labs Inc. | Clinical Medical Laboratory | 3330 New York Ave Ne, Washington, DC 20002 | 2020-07-07 |
| 1477174415 | Chuquita Alma Berry | Technician | 11 R Street Ne, Apt 204, Washington, DC 20002 | 2020-04-30 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1215574975 | Chanea Paige | Technician | 1753 A St Ne, Washington, DC 20002 | 2019-12-02 |
| 1861038952 | Yasmen Britt | Emergency Medical Technician, Paramedic | 1711 Benning Rd, Washington, DC 20002 | 2019-11-23 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
| Find all providers in zip 20002 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| City | WASHINGTON |
| Zip Code | 20002 |
Please comment or provide details below to improve the information on DEPARTMENT OF YOUTH REHABILITATION SERVICES.
| 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.