INTEGRATED YOUTH SERVICES, INC. (NPI# 1518138031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518138031 |
| Entity Type | Organization |
| Organization Name | INTEGRATED YOUTH SERVICES, INC. |
| Practice Address |
1321 Research Park Dr Beavercreek OH 45432-2851 |
| Practice Telephone | 9374273837 |
| Practice Fax Number | 9374274516 |
| Mailing Telephone | 9374273837 |
| Mailing Fax Number | 9374274516 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | MR. DAVID D. NUSCHER (CEO) |
| Authorized Official Telephone | 9374273837 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
10009282SUPV | OH | Ambulatory Health Care Facilities |
| Street Address |
1321 RESEARCH PARK DR |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45432-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003816091 | Leanna Elaine Manuel | Psychologist | 1321 Research Park Dr, Suite 200, Beavercreek, OH 45432-2851 | 2005-07-31 |
| 1154630440 | Patricia Japs | Registered Nurse | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-10-04 |
| 1558670844 | Eric Schum | Social Worker | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-10-04 |
| 1841509148 | Barbara Mcgirr | Registered Nurse | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-10-04 |
| 1104130434 | Dawn Tharp | Counselor | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1134433451 | Jacqueline Cinelli | Social Worker | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1326352642 | Amy Ward | Counselor | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1326352667 | Clarissa Wentworth | Social Worker | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1073827390 | Lynn Oliver | Counselor | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1891932851 | Kathleen M Hendrickson | Counselor | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1881208189 | Child Anxiety Center | Clinic/Center | 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 | 2020-09-03 |
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| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45432 |
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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.