CARROLL COUNTY YOUTH SERVICE BUREAU, INC. – NPI #1710042924
Clinic/Center

CARROLL COUNTY YOUTH SERVICE BUREAU, INC. is an AHC clinic located in WESTMINSTER, MD. NPPES has assigned the NPI number 1710042924 to CARROLL COUNTY YOUTH SERVICE BUREAU, INC. on December 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 3 years ago on Feb 15, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARROLL COUNTY YOUTH SERVICE BUREAU, INC. below.

NPI Profile for
CARROLL COUNTY YOUTH SERVICE BUREAU, INC.

NPI Number
1710042924
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARROLL COUNTY YOUTH SERVICE BUREAU, INC.
Primary location
59 KATE WAGNER RD.
WESTMINSTER, MD 21157
Phone: (410) 848-2500 Fax: (410) 876-3016
Mailing address
59 KATE WAGNER RD
WESTMINSTER, MD 21157-6957
Phone: (410) 848-2500 Fax: (410) 876-3016
Organization Subpart
No
Authorized Official
LYNN DAVIS
EXECUTIVE DIRECTOR
Phone: (443) 244-8649
Updated
Certification Date
Feb 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CARROLL COUNTY YOUTH SERVICE BUREAU, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMD615501400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
MD 12225

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.