NORTHEAST CENTER FOR YOUTH AND FAMILIES (NPI# 1467635326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467635326 |
| Entity Type | Organization |
| Organization Name | NORTHEAST CENTER FOR YOUTH AND FAMILIES |
| Practice Address |
1556 Storrs Rd Mansfield CT 06028 |
| Mailing Address |
1556 Storrs Rd. Mansfield CT 06268 |
| Practice Telephone | 8604874846 |
| Practice Fax Number | 8694874847 |
| Mailing Telephone | 8604874846 |
| Mailing Fax Number | 8604874847 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |
| Authorized Official Name | MRS. AMY JACQUELINE HUNTER (CLINICIAN) |
| Authorized Official Telephone | 4135759095 |
| Authorized Official Credential | MA, CAGS |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740601400 | Northeast Center for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 201 East St, Easthampton, MA 01027-1234 | 2013-12-26 |
| 1619390531 | Northeast Center for Youth and Families | Community/Behavioral Health | 201 East St, Easthampton, MA 01027-1234 | 2014-01-29 |
| 1679995898 | Northeast Center for Youth and Families | Community/Behavioral Health | 201 East St, Easthampton, MA 01027-1234 | 2014-01-07 |
| 1134556244 | Northeast Center for Youth and Families | Community/Behavioral Health | 203 East St, Easthampton, MA 01027-1234 | 2013-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | NORTHEAST CENTER FOR YOUTH AND FAMILIES, INC. | Hampton House, 1556 Storrs Road, Storrs Mansfield, CT 06268 |
| Street Address |
1556 STORRS RD |
| City | MANSFIELD |
| State | CT |
| Zip Code | 06028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1063013951 | Travis Tuan Tran | Pharmacist | 1826 Lake Glen Trl, Mansfield, TX 76063-4090 | 2020-11-05 |
| 1861093114 | Jimmie Wayne Jones | Home Health Aide | 2838 Stafford Dr, Mansfield, OH 44904-9562 | 2020-11-03 |
| 1093315103 | Friend Home | Custodial Care Facility | 121 Wolf Rd, Mansfield, OH 44903-8739 | 2020-10-28 |
| 1194325407 | Worlita L. Williams | Social Worker | 510 Rea St, Mansfield, LA 71052-2142 | 2020-10-27 |
| 1083214381 | Infinite Care Health Services LLC | Home Health | 288 Glessner Ave Ste B, Mansfield, OH 44903-2225 | 2020-10-27 |
| 1093314742 | Tammy Whitmore | Private Vehicle | 440 Gadfield Rd, Mansfield, OH 44903-1953 | 2020-10-23 |
| 1396344123 | Tammy Renee Bowers | Private Vehicle | 1151 Monterey Dr, Mansfield, OH 44907-2443 | 2020-10-22 |
| 1487253175 | Pearlie M Newbern | Nurse's Aide | 1517 Willow Park Dr, Mansfield, OH 44903-8848 | 2020-10-22 |
| 1356940399 | Donald Ray Blakley Jr. | Technician | 717 W Cook Rd, Mansfield, OH 44907-5009 | 2020-10-21 |
| Find all providers in MANSFIELD | ||||
| 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 |
|---|---|---|---|---|
| 1669866315 | Joseph Mancinone | Residential Treatment Facility, Emotionally Disturbed Children | 271 Southbury Rd, Roxbury, CT 06783-2101 | 2015-03-20 |
| 1184927659 | The Learning Clinic, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2010-12-06 |
| 1215271705 | The Children's Center of Hamden, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1400 Whitney Ave, Hamden, CT 06517-2459 | 2012-11-21 |
| 1194041335 | Nakia M Washington | Residential Treatment Facility, Emotionally Disturbed Children | 105 Spring St, Hartford, CT 06105-2112 | 2010-04-13 |
| 1851621247 | New Hope Manor | Residential Treatment Facility, Emotionally Disturbed Children | 48 Hartford Rd, Manchester, CT 06040-5921 | 2010-01-06 |
| 1710216163 | The Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2009-12-14 |
| 1801086830 | Grove School | Residential Treatment Facility, Emotionally Disturbed Children | 175 Copse Rd, Madison, CT 06443-2323 | 2007-07-26 |
| 1245304096 | The Village for Families & Children, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1680 Albany Ave, Hartford, CT 06105-1001 | 2006-11-20 |
Please comment or provide details below to improve the information on NORTHEAST CENTER FOR YOUTH AND FAMILIES.
| 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.