YOUTH DEVELOPMENT INSTITUTE NPI 1013087352
Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, AZ

About YOUTH DEVELOPMENT INSTITUTE

Youth Development Institute is a provider established in Phoenix, Arizona operating as a Residential Treatment Facility, Emotionally Disturbed Children. The NPI number of Youth Development Institute is 1013087352 and was assigned on November 2006. The practitioner's primary taxonomy code is 322D00000X with license number BH-159 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Trish Cocoros (Associate Director)

NPI
1013087352
Provider NameYOUTH DEVELOPMENT INSTITUTE
Location Address1830 E ROOSEVELT ST PHOENIX, AZ 85006
Location Phone(602) 256-5300
Mailing Address1830 E ROOSEVELT ST PHOENIX, AZ 85006
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-08-2006
Last Update Date08-22-2020


Primary Taxonomy

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.

Taxonomy Code322D00000X
ClassificationResidential Treatment Facility, Emotionally Disturbed Children
TypeResidential Treatment Facilities
License No.BH-159
License StateAZ
Taxonomy DescriptionA residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

YOUTH DEVELOPMENT INSTITUTE
1830 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85006
Phone: (602) 256-5300

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Mailing Address

YOUTH DEVELOPMENT INSTITUTE
1830 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85006
Phone: (602) 256-5300


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name TRISH COCOROS
Authorized Official TitleASSOCIATE DIRECTOR
Authorized Official Phone(602) 256-5300

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 Identifier Issuer
593518OTHER (01)AZAHCCCS PROVIDER #

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013087352
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230814310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 4 + 3 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013087352 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225175912DR. ALAN DANA LEWIS M.S., PSYD
Individual
Psychologist (Clinical)1830 E ROOSEVELT ST
PHOENIX, AZ 85006
(602) 318-0328
1295973253 AMY ELIZABETH GUERTZGEN LMSW
Individual
Social Worker1830 E ROOSEVELT ST
PHOENIX, AZ 85006
(602) 254-0884
1295973246 ANGELA SHOPMEYER
Individual
Counselor (Professional)1830 E ROOSEVELT ST
PHOENIX, AZ 85006
(602) 256-5402
1043458003MRS. ELLEN MARIE BAKER LMSW
Individual
Social Worker1830 E ROOSEVELT ST
PHOENIX, AZ 85006
(602) 256-5403
1528206588MISS MARINA CHABOLLA LCSW
Individual
Counselor (Mental Health)1830 E ROOSEVELT ST
PHOENIX, AZ 85006
(602) 256-5300
1609940865YOUTH DEVELOPMENT INSTITUTE
Organization
Community/Behavioral Health1830 E ROOSEVELT ST
PHOENIX, AZ 85006
(602) 254-0884

Frequently Asked Questions

What is YOUTH DEVELOPMENT INSTITUTE NPI number?

The NPI number assigned to YOUTH DEVELOPMENT INSTITUTE is 1013087352, registered as an "organization" on November 08, 2006

Where is YOUTH DEVELOPMENT INSTITUTE located?

The provider is located at 1830 E Roosevelt St Phoenix, Az 85006 and the phone number is (602) 256-5300

What kind of medical provider is YOUTH DEVELOPMENT INSTITUTE?

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children

What insurance does YOUTH DEVELOPMENT INSTITUTE accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

How do I update my NPI information?

The NPI record of YOUTH DEVELOPMENT INSTITUTE was last updated on November 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]