NASHUA YOUTH COUNCIL INC NPI 1003000365

Clinic/Center (Adolescent and Children Mental Health) in Nashua, NH

About NASHUA YOUTH COUNCIL INC

Nashua Youth Council Inc is a provider in Nashua, NH. The NPI number assigned to this provider is 1003000365. The practitioner's primary taxonomy code is Clinic/Center (261QM0855X). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as The Youth Council.

NPI

1003000365

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameNASHUA YOUTH COUNCIL INC
Provider Location Address112 WEST PEARL STREET NASHUA, NH 03060 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address112 WEST PEARL STREET NASHUA, NH 03060 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameTHE YOUTH COUNCIL Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date08-30-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-24-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QM0855X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAdolescent and Children Mental Health
Taxonomy DescriptionAn 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.

Business Address

NASHUA YOUTH COUNCIL INC
112 WEST PEARL STREET
NASHUA, NH
ZIP 03060
Phone: (603) 889-1090
Fax: (603) 598-1703

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Mailing Address

NASHUA YOUTH COUNCIL INC
112 WEST PEARL STREET
NASHUA, NH
ZIP 03060
Phone: (603) 889-1090
Fax: (603) 598-1703

Authorized Official

Authorized Official NameMS. NICOLE BOYLE Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleDIR OF QUALITY & COMPLIANCE
Authorized Official Phone(603) 889-1090

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
788015050NHOTHER (01)
Previous NPI
1003000357
Next NPI
1003000373