YOUTH OPPORTUNITY CENTER, INC (NPI# 1134276884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134276884 |
| Entity Type | Organization |
| Organization Name | YOUTH OPPORTUNITY CENTER, INC |
| Practice Address |
3700 W Kilgore Ave Muncie IN 47304-4810 |
| Practice Telephone | 7652895437 |
| Practice Fax Number | 7657414951 |
| Mailing Telephone | 7652895437 |
| Mailing Fax Number | 7657414951 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAN L OLIVER (BUSINESS DIRECTOR) |
| Authorized Official Telephone | 7652895437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386967586 | Youth Opportunity Center, Inc | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2010-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YOUTH OPPORTUNITY CENTER, INC. | 3700 W Kilgore Ave, Muncie, IN 47304-4810 |
| Indiana Business Entities | YOUTH OPPORTUNITY CENTER, INC. | 3700 W. Kilgore Avenue, Muncie, IN 47305 |
| Street Address |
3700 W KILGORE AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302368 | Mckenzie Slagle | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-10-07 |
| 1841807294 | Courtney Alane Eaddy-richardson | Student in an Organized Health Care Education/Training Program | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-09-29 |
| 1386250462 | Kalyn M Gebhardt | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-09-23 |
| 1063036903 | Margaret Ann Dorfner | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-06-06 |
| 1710500574 | Brandy Latrice Pugh | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-05-27 |
| 1396368403 | Ebony Logan | Student in an Organized Health Care Education/Training Program | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-05-22 |
| 1255964367 | Andrea Grace Trinidad | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-02-17 |
| 1790326312 | Cass G Winters | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2019-10-04 |
| 1053960021 | Jessica Simpson | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2019-09-11 |
| 1972151546 | Amanda Nicole Wheeler | Student in an Organized Health Care Education/Training Program | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2019-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831697598 | Indianapolis Vamc | Psychiatric Residential Treatment Facility | 9045 E 59th St Bldg 402, Indianapolis, IN 46216-1030 | 2018-01-29 |
| 1518382993 | Patrick Mcneill | Psychiatric Residential Treatment Facility | 614 Farley Dr, Indianapolis, IN 46214-3575 | 2014-02-21 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1982774246 | Gibault, Inc. | Psychiatric Residential Treatment Facility | 6401 S Us Highway 41, Terre Haute, IN 47802-4749 | 2006-11-08 |
| 1801822440 | Hhc Indiana Inc. | Psychiatric Residential Treatment Facility | 1800 N Oak Dr, Plymouth, IN 46563-3406 | 2006-06-24 |
| 1275080400 | Shirley Mclean | Psychiatric Residential Treatment Facility | 1100 W 6th Ave, Gary, IN 46402-1711 | 2016-09-06 |
| 1770970337 | Crossroad Child and Family Services | Psychiatric Residential Treatment Facility | 2525 Lake Ave, Fort Wayne, IN 46805-5407 | 2015-04-22 |
| 1598194516 | Damar Services Inc. | Psychiatric Residential Treatment Facility | 6067 Decatur Blvd, Indianapolis, IN 46241-9606 | 2013-11-12 |
| 1730487901 | Gibault, Inc. | Psychiatric Residential Treatment Facility | 6401 S Us Highway 41, Terre Haute, IN 47802-4749 | 2011-03-11 |
| 1366747685 | Veronica Bridges | Psychiatric Residential Treatment Facility | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2011-01-18 |
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| 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.