Youth Development Clinic Of Newark
Community/Behavioral Health in Newark, New Jersey
1235937269- Practice location
- 500 Broad St Fl 3, Newark, NJ 07102-3112
- Phone
- 973-623-5080
- Fax
- —
- Last updated
- March 5, 2025
Youth Development Clinic Of Newark is a healthcare organization based in Newark, NJ. Youth Development Clinic Of Newark practices in Newark, NJ. The NPI Number for Youth Development Clinic Of Newark is 1235937269. The current practice location address for Youth Development Clinic Of Newark is 500 Broad St Fl 3, Newark, NJ 07102-3112 and can be reached out via phone at 973-623-5080.
Provider Profile Details
- NPI Number
- 1235937269
- Provider Name
- Youth Development Clinic Of Newark
- Provider Entity Type
- Organization
- Address
- 500 Broad St Fl 3, Newark, NJ 07102-3112
- Phone Number
- 973-623-5080
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- Yes
- Parent Organization
- Youth Development Clinic Of Newark
- Authorized Official
- Dr. Mark Kitzie, PSYD · Executive Director · 973-494-5801
- Other Names
- Iic Services (Other Name)
- Provider Enumeration Date
- March 5, 2025
- Last Update Date
- March 5, 2025
- Certification Date
- March 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Broad St Fl 3
Newark, NJ 07102-3112 - City
- Newark
- State
- New Jersey
- Zip
- 07102-3112
- Phone Number
- 973-623-5080
Provider Business Mailing Address Details
- Address
- 500 Broad St Fl 3
Newark, NJ 07102-3112 - City
- Newark
- State
- NJ
- Zip
- 07102-3112
- Phone Number
- 973-623-5080
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Youth Development Clinic Of Newark?
The NPI number of Youth Development Clinic Of Newark is 1235937269. It was assigned on March 5, 2025 and is currently active in the NPPES registry.
What is the specialty of Youth Development Clinic Of Newark?
Youth Development Clinic Of Newark is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Youth Development Clinic Of Newark practice?
The practice location is 500 Broad St Fl 3, Newark, NJ 07102-3112. The office can be reached at 973-623-5080 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235937269 directly on the NPPES registry website.