FAMILY & YOUTH INSTITUTE (NPI# 1699970608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699970608 |
Entity Type | Organization |
Organization Name | FAMILY & YOUTH INSTITUTE |
Practice Address |
14 Sandalwood Drive Newark OH 43055 |
Mailing Address |
Po Box 365 14 Sandalwood Drive Newark OH 43055 |
Practice Telephone | 7407888850 |
Practice Fax Number | 7407888851 |
Mailing Telephone | 7407888850 |
Mailing Fax Number | 7407888851 |
Enumeration Date | 2007-06-19 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. KENNETH M LARIMORE (ADMINISTRATOR) |
Authorized Official Telephone | 7407888850 |
Authorized Official Credential | DMIN MSW LISW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
OH | Allopathic & Osteopathic Physicians |
Street Address |
14 SANDALWOOD DRIVE |
City | NEWARK |
State | OH |
Zip Code | 43055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205218757 | Markian Yuriy Pazuniak | Psychiatry & Neurology | 4755 Ogletown Stanton Rd Ste 116, Newark, DE 19718-2200 | 2015-06-22 |
1396205563 | Essex Psychiatric Center for Children & Adults LLC | Psychiatry & Neurology | 111 Central Ave, Newark, NJ 07102-1909 | 2019-03-22 |
1972845410 | Tenzing Yangchen | Psychiatry & Neurology | 183 S Orange Ave, Newark, NJ 07103 | 2013-03-22 |
1003127101 | Ayesha Silman | Psychiatry & Neurology | 100 Rockford Dr, Newark, DE 19713-2120 | 2010-06-23 |
1275869612 | Jessica Elizabeth Shabo | Psychiatry & Neurology | 183 South Orange Ave, Bhsb E-1447 Psychiatry Department, Newark, NJ 07101-1709 | 2009-10-20 |
1194982900 | Cecilia Del Carmen Belardinelli | Psychiatry & Neurology | 183 S Orange Ave, Newark, NJ 07103-2757 | 2008-05-20 |
1578574919 | Charles W Snyder | Psychiatry & Neurology | 1445 W Main St, Newark, OH 43055-1989 | 2006-08-11 |
1679583272 | University Physician Associates of New Jersey Inc | Psychiatry & Neurology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
1467768531 | Jillian Alexis Shellabarger | Psychiatry & Neurology | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2010-08-26 |
1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
1346443090 | Madhuri Medarametla | Psychiatry & Neurology | 7590 Wentworth Ln, Mentor, OH 44060-7273 | 2007-06-08 |
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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.