MARION YOUTH DEVELOPMENT CENTER
NPI 1629099890
Residential Treatment Facility, Emotionally Disturbed Children in Ocala, FL

Active since July 22, 2006
4055 NW 105TH ST, OCALA, FL 34482(352) 671-2777(352) 368-5940 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Jul 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Marion Youth Development Center NPPES

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

MARION YOUTH DEVELOPMENT CENTER (NPI 1629099890) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Ocala, Florida and active in the NPI registry since July 2006. The organization lists Brenda Lynn Carlson, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1629099890
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameMARION YOUTH DEVELOPMENT CENTER
Location Address4055 NW 105TH STOcala, FL 34482-1434
Mailing Address4055 Nw 105th StOcala, FL 34482-1434 · (352) 671-2777 · Fax (352) 368-5940
Fax(352) 368-5940
Organization SubpartNo
Authorized OfficialBrenda Lynn CarlsonClinical Director · (352) 671-2777
Enumeration DateJuly 22, 2006
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPI 1629099890 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 ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X · License 1342AD5690 (FL)
4055 NW 105TH ST, Ocala, FL 34482

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
4055 NW 105TH ST
OCALA, FL 34482

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 Marion Youth Development Center's NPI number?

The NPI number for Marion Youth Development Center is 1629099890. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Marion Youth Development Center located?

Marion Youth Development Center is located at 4055 NW 105th St, Ocala, FL 34482. The listed phone number is (352) 671-2777.

What is Marion Youth Development Center'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 Marion Youth Development Center was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.