CENTER FOR YOUTH EXCELLENCE (NPI# 1285985069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285985069 |
| Entity Type | Organization |
| Organization Name | CENTER FOR YOUTH EXCELLENCE |
| Practice Address |
1409 Kearny St Ne Washington DC 20017-2957 |
| Practice Telephone | 2024124754 |
| Practice Fax Number | 2023153746 |
| Mailing Telephone | 2024124754 |
| Mailing Fax Number | 2023153746 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | MR. KOFI OTHIENA GRAHAM (OPERATIONAL DIRECTOR) |
| Authorized Official Telephone | 2024124754 |
| 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 |
| Street Address |
1409 KEARNY ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017-2957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
| Find all providers in zip 20017 | ||||
| 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 |
|---|---|---|---|---|
| 1558547315 | Excel for Life (cedar Home) | Residential Treatment Facility, Emotionally Disturbed Children | 108 Cedar Cir, Washington, NC 27889-9506 | 2008-01-11 |
| 1295917870 | Healthplus Therapeutic Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 304 W 15th St, Washington, NC 27889-3650 | 2007-12-05 |
| 1932309556 | Treasured Care, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 201 Red Oak Dr, Washington, NC 27889-9345 | 2007-07-22 |
| 1487988788 | Excel 4 Life, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2310 Cherry Run Rd, Washington, NC 27889-8366 | 2009-09-21 |
| 1841524147 | Excel 4 Life Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 108 Cedar Cir, Washington, NC 27889-9506 | 2009-09-21 |
| 1669705596 | Excel 4 Life, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1730 Carolina Ave, Washington, NC 27889-3315 | 2009-09-10 |
| 1770769481 | Dream Provider Care Services | Residential Treatment Facility, Emotionally Disturbed Children | 1255 Highland Dr, Washington, NC 27889-3405 | 2008-01-11 |
| 1942377114 | Excel for Life, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1730 Carolina Ave, Washington, NC 27889-3315 | 2006-11-30 |
| City | WASHINGTON |
| Zip Code | 20017 |
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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.