ST AUGUSTINE YOUTH SERVICES – NPI #1699816900
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
ST AUGUSTINE YOUTH SERVICES is a community based residential treatment facility located in SAINT AUGUSTINE, FL. NPPES has assigned the NPI number 1699816900 to ST AUGUSTINE YOUTH SERVICES on February 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
The NPI profile was previously updated about 12 years ago on Aug 27, 2014. 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 ST AUGUSTINE YOUTH SERVICES below.
NPI Profile for
ST AUGUSTINE YOUTH SERVICES
(more than 19 years ago)
SAINT AUGUSTINE, FL 32086 Phone: (904) 829-1770 Fax: (904) 825-0604
EXECUTIVE DIRECTOR
Phone: (904) 829-1770
Identifiers for ST AUGUSTINE YOUTH SERVICES
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | FL | 029585000 | |
| MEDICAID | FL | 029585003 |
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 |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
FL | 0206-61-16 |
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.