SUPPORTIVE YOUTH AND FAMILY SERVICES (NPI# 1427589910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427589910 |
| Entity Type | Organization |
| Organization Name | SUPPORTIVE YOUTH AND FAMILY SERVICES |
| Practice Address |
27 Ligham St Belleville NJ 07109-1814 |
| Practice Telephone | 9737358911 |
| Mailing Telephone | 9734206209 |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2017-03-25 |
| Authorized Official Name | JAMES COOK (DIRECTOR) |
| Authorized Official Telephone | 9734206209 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | NJ | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | NJ | Agencies |
| Street Address |
27 LIGHAM ST |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295187631 | James Cook | Counselor | 27 Ligham St, Belleville, NJ 07109-1814 | 2016-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964870 | Group Interventions | Community/Behavioral Health | 6600 W Main St Ste 4b, Belleville, IL 62223-3037 | 2020-02-21 |
| 1619401171 | Kd&u Services LLC | Community/Behavioral Health | 14 Crescent Ter, Belleville, NJ 07109-2064 | 2017-04-11 |
| 1316385990 | The Ease Program | Community/Behavioral Health | 2900 Frank Scott Pkwy W Ste 956, Belleville, IL 62223-5000 | 2013-06-05 |
| 1295059988 | Children's Home and Aid | Community/Behavioral Health | 120 E A St, Belleville, IL 62220-1401 | 2010-03-24 |
| 1386892818 | Gateway Foundation, Inc. | Community/Behavioral Health | 7 N High St, Belleville, IL 62220-1435 | 2008-09-09 |
| 1154399780 | Christian Social Services of Illinois | Community/Behavioral Health | 8601 West Main Street Suite 201, Belleville, IL 62226-1719 | 2006-03-09 |
| 1942749429 | Northwest Essex Community Healthcare | Community/Behavioral Health | 570 Belleville Ave, Belleville, NJ 07109-1308 | 2017-02-17 |
| 1780036418 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 218 W Main St, Belleville, IL 62220-1504 | 2016-07-06 |
| 1114385507 | Treatment Alternatives for Safe Communilties | Community/Behavioral Health | 218 W Main St, Belleville, IL 62220-1504 | 2016-02-01 |
| 1295107563 | Professional Supportive Solution Therapy | Community/Behavioral Health | 6400 W Main St, Belleville, IL 62223-3806 | 2015-10-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
Please comment or provide details below to improve the information on SUPPORTIVE YOUTH AND FAMILY 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.