OrganizationActive
Youth Services International, Inc
NPI 1669531000 · Emotionally Disturbed Childrens' Residential Treatment Facility · Wallingford, IA
Provider details
- NPI number
- 1669531000
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Sievert, Facility Administrator(712) 867-4724
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4502 230th St
Wallingford, IA 51365-7539
Phone: (712) 867-4724
Fax: (712) 867-4505
Street-level locationGet directions
Mailing address
4502 230th St
Wallingford, IA 51365-7539
Other names (DBA / former)
- Doing business as
- Forest Ridge Youth Services
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.