YOUTH DEVELOPMENT INSTITUTE
NPI 1508939554
Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, AZ

NPI Status: Active since November 16, 2006

Contact Information

1050 N 19TH ST
BLDG. A
PHOENIX, AZ
ZIP 85006
Phone: (602) 254-0884

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  • Organization
  • Residential Treatment Facility, Emotiona...
  • Accepts Insurance
  • CLIA Number: 03D0969083
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 02-07-2026

About YOUTH DEVELOPMENT INSTITUTE

This page provides the complete NPI Profile along with additional information for Youth Development Institute, a provider established in Phoenix, Arizona operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1508939554 assigned on November 2006. The practitioner's primary taxonomy code is 322D00000X with license number BH-311 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Trish Cocoros (Associate Director)

NPI
1508939554
Provider Name
YOUTH DEVELOPMENT INSTITUTE
Entity Type
Organization
Location Address
1050 N 19TH ST BLDG. A PHOENIX, AZ 85006
Location Phone
(602) 254-0884
Mailing Address
1830 E ROOSEVELT ST PHOENIX, AZ 85006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
BH-311
License State
AZ
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRISH COCOROS

Authorized Official Title
ASSOCIATE DIRECTOR
Authorized Official Phone
(602) 254-0884

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
455213OTHER (01)AZAHCCCS PROVIDER #

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D0969083
Facility Type
Other
Certificate Effective Date
February 08, 2024
Certificate Expiration Date
February 07, 2026
Laboratory Director
KENNETH J. ZWIER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Youth Development Institute to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508939554, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 8 + 3 + 1 + 8 + 5 + 1 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1508939554.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Residential Treatment Facility, Emotionally Disturbed Children
1050 N 19TH ST, BLDG. B
PHOENIX, AZ 85006
Community Based Residential Treatment Facility, Mental Illness
1050 N 19TH ST, BLDG. A
PHOENIX, AZ 85006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508939554, enumerated as an "organization" on November 16, 2006.

The provider is located at 1050 N 19TH ST BLDG. A PHOENIX, AZ 85006 and the phone number is (602) 254-0884.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.