INTEGRATED YOUTH SERVICES INC (NPI# 1710907597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710907597 |
| Entity Type | Organization |
| Organization Name | INTEGRATED YOUTH SERVICES INC |
| Practice Address |
1321 Research Park Drive Dayton OH 45432 |
| Practice Telephone | 9374273837 |
| Practice Fax Number | 9374274516 |
| Mailing Telephone | 9374273837 |
| Mailing Fax Number | 9374274516 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID D NUSCHER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9374273837 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
493 | OH | Ambulatory Health Care Facilities |
| X | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
11001 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2369119 | 05 |
| Street Address |
1321 RESEARCH PARK DRIVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45432 |
| 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 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| 1174503130 | Phyllis A Hughes | Counselor | 1320 Woodman Drive, Dayton, OH 45432 | 2006-01-18 |
| Find all providers in zip 45432 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286548 | Robin's House | Clinic/Center | 326 Bierce Ave, Dayton, OH 45403-2657 | 2018-05-29 |
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|---|---|---|---|---|
| 1295340511 | Alliance Therapeutic Practices, LLC | Clinic/Center | 822 Delta Ave Ste 1, Cincinnati, OH 45226-1256 | 2020-09-14 |
| 1922610898 | Alyssa Banks | Clinic/Center | 915 N Erie St, Toledo, OH 43604-1605 | 2020-08-20 |
| 1154931574 | Compassionate Connections for Children LLC | Clinic/Center | 7060 Copperglow Ct, Cincinnati, OH 45244-3649 | 2020-08-01 |
| 1568085876 | Laura Irene Davis | Clinic/Center | 2020 Brice Rd Ste 110, Reynoldsburg, OH 43068-3448 | 2020-05-20 |
| 1407481021 | Counseling On Purpose, LLC | Clinic/Center | 1350 5th Ave Ste 310, Youngstown, OH 44504-1765 | 2020-03-04 |
| 1639710361 | Soaring On Success, LLC | Clinic/Center | 2146 N 13th St, Toledo, OH 43620-1909 | 2019-10-03 |
| 1366928863 | Fairmount Mental Wellness LLC | Clinic/Center | 2460 Fairmount Blvd Ste 317, Cleveland Heights, OH 44106-3164 | 2018-07-17 |
| 1558869206 | Pathways Behavioral Healthcare, Inc. | Clinic/Center | 333 S Main St Ste 105, Akron, OH 44308-1210 | 2018-01-29 |
| 1508379314 | Trumbull County Children Services | Clinic/Center | 2282 Reeves Rd Ne, Warren, OH 44483-4300 | 2017-11-15 |
| 1306229612 | Lettvin Psychiatric and Consulting Services, LLC | Clinic/Center | 76 E. Second Street, Chillicothe, OH 45601 | 2015-07-06 |
| 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.