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YOUNG STAR ACADEMY
NPI 1477034528
Residential Treatment Facility, Emotionally Disturbed Children in Perrysville, OH

Active since August 27, 2018
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864(419) 994-0300(419) 994-0305 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2018, Aug 27, 2018 (2 updates tracked since 2018).

About Young Star Academy NPPES

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

YOUNG STAR ACADEMY (NPI 1477034528) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Perrysville, Ohio and active in the NPI registry since August 2018. The organization lists Paula Rodriguez, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1477034528
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameYOUNG STAR ACADEMY
Location Address1012 ODNR MOHICAN 51Perrysville, OH 44864-9407
Mailing Address1012 Odnr Mohican 51Perrysville, OH 44864-9407 · (419) 994-0300 · Fax (419) 994-0305
Phone(419) 994-0300
Fax(419) 994-0305
Organization SubpartNo
Authorized OfficialPaula RodriguezAdministrative Assistant · (419) 994-0300
Enumeration DateAugust 27, 2018
Last NPPES UpdateSeptember 25, 20182 updates tracked since enumeration
✔ NPI 1477034528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A 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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1012 ODNR MOHICAN 51, Perrysville, OH 44864
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA DOSTER CDCA
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
MATTHEW STEVENS QBHS
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
CHASIDY CAMPBELL QBHS
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
REGAN M MEIER LISW
Social Worker (Clinical)
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
KATIE MARIE CLEVER
Counselor (Addiction (Substance Use Disorder))
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
WILLIAM PETERSEN
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
MOHICAN YOUTH ACADEMY
Psychiatry & Neurology (Neurodevelopmental Disabilities)
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
ISIAH SIMMONS QBHS
Case Manager/Care Coordinator
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300

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 Young Star Academy's NPI number?

The NPI number for Young Star Academy is 1477034528. It was assigned to this organization in the NPPES registry on August 27, 2018.

Where is Young Star Academy located?

Young Star Academy is located at 1012 Odnr Mohican 51, Perrysville, OH 44864. The listed phone number is (419) 994-0300.

What is Young Star Academy's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Young Star Academy was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.