BRISTOL YOUTH ACADEMY
NPI 1447359435
Psychiatric Residential Treatment Facility in Bristol, FL

Active since September 22, 2006
12422 NW GORDON TRUETT REVELL RD, BRISTOL, FL 32321(850) 643-4600(850) 643-2061 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Bristol Youth Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRISTOL YOUTH ACADEMY (NPI 1447359435) is a healthcare organization registered as a psychiatric residential treatment facility in Bristol, Florida and active in the NPI registry since September 2006. The organization lists Jeanette Jackson, Admin, as its authorized official.

NPPES Registry Identity

NPI1447359435
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameBRISTOL YOUTH ACADEMY
Location Address12422 NW GORDON TRUETT REVELL RDBristol, FL 32321-3007
Mailing Address12422 Nw Gordon Truett Revell RdBristol, FL 32321-3007 · (850) 643-4600 · Fax (850) 643-2061
Fax(850) 643-2061
Organization SubpartNo
Authorized OfficialJeanette JacksonAdmin · (850) 643-4600
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1447359435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
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
12422 NW GORDON TRUETT REVELL RD, Bristol, FL 32321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bristol Youth Academy's NPI number?

The NPI number for Bristol Youth Academy is 1447359435. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Bristol Youth Academy located?

Bristol Youth Academy is located at 12422 NW Gordon Truett Revell Rd, Bristol, FL 32321. The listed phone number is (850) 643-4600.

What is Bristol Youth Academy's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Bristol Youth Academy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.