CLARINDA YOUTH CORPORATION (NPI# 1255472882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255472882 |
Entity Type | Organization |
Organization Name | CLARINDA YOUTH CORPORATION |
Other Organization Name | CLARINDA ACADEMY |
Practice Address |
1820 N 16th St Clarinda IA 51632-1165 |
Practice Telephone | 7125423103 |
Practice Fax Number | 7125422907 |
Mailing Telephone | 7125423103 |
Mailing Fax Number | 7125422907 |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GORDON CHARLES REED (PRESIDENT, CYC BOARD OF DIRECTORS) |
Authorized Official Telephone | 7125423103 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 1104299 | 05 |
Other Name | Type Code |
---|---|
Clarinda Academy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831665785 | Clarinda Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1820 N 16th St, Clarinda, IA 51632-1165 | 2018-10-18 |
1659632107 | Clarinda Youth Corporation | Dentist | 1820 N 16th St, Clarinda, IA 51632-1165 | 2012-05-31 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | CLARINDA YOUTH CORPORATION | Clarinda Youth Corporation Co Clarinda Academy, 1820 N 16th St., Clarinda, IA 51632 |
Street Address |
1820 N 16TH ST |
City | CLARINDA |
State | IA |
Zip Code | 51632-1165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831665785 | Clarinda Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1820 N 16th St, Clarinda, IA 51632-1165 | 2018-10-18 |
1578933933 | Danielle Schalk | Counselor | 1820 N 16th St, Clarinda Academy, Clarinda, IA 51632-1165 | 2015-09-29 |
1659632107 | Clarinda Youth Corporation | Dentist | 1820 N 16th St, Clarinda, IA 51632-1165 | 2012-05-31 |
1407060130 | Amber Nichole Butt | Counselor | 1820 N 16th St, Clarinda, IA 51632-1165 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477190767 | Jeanine Marie Bradley | Nurse Practitioner | 822 South 17th Street, Clarinda, IA 51632 | 2019-12-05 |
1568011203 | Valeria V. Stickler | Specialist | 125 E Washington Street, Suite B, Clarinda, IA 51632 | 2019-09-05 |
1982953360 | Katie Louise Abold | Counselor | 1820 North 16th St, Clarinda, IA 51632 | 2012-08-31 |
1922295245 | Assisted Living Concepts Inc | Assisted Living Facility | 920 West Garfield, Clarinda, IA 51632 | 2007-10-01 |
1841480357 | Kevin L Ketter | Physical Therapist | 17th St.and Wells St., Clarinda Regional Health Center, Clarinda, IA 51632 | 2007-07-31 |
1053520056 | Mitchell John Hargin | Chiropractor | 218 N 16th Street, Clarinda, IA 51632 | 2007-05-22 |
1679789614 | Robin L. Moeller-sunderman | Social Worker | Southwest Iowa Families, 215 E. Washington St., Clarinda, IA 51632 | 2007-05-15 |
1780898346 | Clarinda Regional Health Center | Durable Medical Equipment & Medical Supplies | 823 South 17th Street, Clarinda, IA 51632 | 2007-05-10 |
1245364728 | Teresa B Rosales | Psychiatry & Neurology | 1800 North 16th St., Clarinda, IA 51632 | 2007-03-15 |
1306915871 | Robert D Nassen | Dentist | 109 1 2 E Main St, Clarinda, IA 51632 | 2006-11-07 |
Find all providers in zip 51632 |
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 |
---|---|---|---|---|
1831665785 | Clarinda Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1820 N 16th St, Clarinda, IA 51632-1165 | 2018-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992256291 | Hillcrest Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2543 Wilbricht Ln, Dubuque, IA 52001-3034 | 2016-10-21 |
1497959050 | Midwest Christian Services | Residential Treatment Facility, Emotionally Disturbed Children | 4509 20th Ave, Peterson, IA 51047-7524 | 2007-06-14 |
1851415947 | Youth Homes of Mid-america | Residential Treatment Facility, Emotionally Disturbed Children | 7225 Nw 58th St, Johnston, IA 50131-1948 | 2007-03-16 |
1104973148 | Rabiner Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2007-01-04 |
1669531000 | Youth Services International, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4502 230th St, Wallingford, IA 51365-7539 | 2006-12-08 |
1962806158 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2014-10-16 |
1245426238 | Youth and Family Resource Services | Residential Treatment Facility, Emotionally Disturbed Children | 200 6th St, Gruver, IA 51334-8518 | 2007-09-24 |
1992839872 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2007-03-15 |
1023187507 | Lutheran Services In Iowa | Residential Treatment Facility, Emotionally Disturbed Children | 3125 Cottage Grove Ave, Des Moines, IA 50311-3809 | 2006-11-07 |
1184701245 | Boys and Girls Home and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2101 Court St, Sioux City, IA 51104-3243 | 2006-11-01 |
Find all providers with the same taxonomy |
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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.