CT YA SERVICES LLC (NPI# 1710528252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710528252 |
| Entity Type | Organization |
| Organization Name | CT YA SERVICES LLC |
| Practice Address |
3236 Congress St Fairfield CT 06824-2034 |
| Mailing Address |
19200 Von Karman Ave Ste 500 Irvine CA 92612-8513 |
| Practice Telephone | 7142025166 |
| Mailing Telephone | 7142025166 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | JAMISON MONROE (FOUNDER/EXECUTIVE CHAIRMAN) |
| Authorized Official Telephone | 9498870242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Newport Institute-Congress | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598306771 | Ct Ya Services LLC | Substance Abuse Rehabilitation Facility | 2495 Redding Rd, Fairfield, CT 06824-1703 | 2019-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CT YA SERVICES LLC | 3990 Hillsboro Pike, Suite 330, Nashville, TN 37215 |
| Street Address |
3236 CONGRESS ST |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972044683 | Discovery Practice Management | Psychiatric Residential Treatment Facility | 600 Wellington Dr, Fairfield, CT 06824-1984 | 2017-03-14 |
| 1285015370 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 615 Mine Hill Rd, Fairfield, CT 06824-2154 | 2015-06-15 |
| 1083095442 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 4536 Congress St, Fairfield, CT 06824-1721 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144788522 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 929 Newfield Ave, Stamford, CT 06905-2520 | 2019-03-05 |
| 1487108908 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 3530 Post Rd Ste 306, Southport, CT 06890 | 2016-08-12 |
| 1134500507 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 1320 Mill Hill Rd, Southport, CT 06890-3017 | 2015-06-11 |
| 1154515435 | Gilead Community Services, Inc. | Psychiatric Residential Treatment Facility | 436 Washington St, Middletown, CT 06457-2527 | 2007-08-30 |
| 1487846044 | Gilead Community Services, Inc. | Psychiatric Residential Treatment Facility | 453 High St, Middletown, CT 06457-2612 | 2007-08-16 |
| 1780876839 | Gilead Community Services, Inc. | Psychiatric Residential Treatment Facility | 89 High St, Clinton, CT 06413-1715 | 2007-08-13 |
| 1376699397 | Klingberg Comprehensive Program Services | Psychiatric Residential Treatment Facility | 370 Linwood St, New Britain, CT 06052 | 2007-01-25 |
| 1750459855 | State of Connecticut | Psychiatric Residential Treatment Facility | 915 River Road, Middletown, CT 06457-3921 | 2006-11-30 |
| 1497854137 | The Renfrew Center, Inc. | Psychiatric Residential Treatment Facility | 1445 E. Putnam Avenue, 1st Floor, Old Greenwich, CT 06870 | 2006-09-21 |
| 1003297482 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 7 Riversville Rd Ste 2a, Greenwich, CT 06831-3684 | 2015-06-11 |
| Find all providers with the same taxonomy | ||||
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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.