OrganizationActive
Youth Consultation Service Inc
NPI 1235590803 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Randolph, NJ
Provider details
- NPI number
- 1235590803
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Richard Mingoia, Ceo President(973) 482-8411
- License
- GH2157 (NJ)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense GH2157 (NJ)
Residential Treatment Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17 Pamela Dr
Randolph, NJ 07869-3903
Phone: (973) 482-8411
Fax: (973) 482-2907
Street-level locationGet directions
Mailing address
284 Broadway
Newark, NJ 07104-4003
Registry dates
- Enumerated
- 2016-03-10
- Last updated
- 2016-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.