Marion Youth Development Center
Marion Youth Development Center is a healthcare organization registered as Emotionally Disturbed Childrens' Residential Treatment Facility in Ocala, FL, holding Type 2 (organization) NPI 1629099890 since 2006. The authorized official on file is Brenda Carlson, Clinical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629099890 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Marion Youth Development Center |
| Practice address | 4055 NW 105TH ST, Ocala, FL, 34482 |
| Phone | 3526712777 |
| Fax | 3523685940 |
| Enumeration date | 2006-07-22 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Brenda Carlson |
|---|---|
| Title | Clinical Director |
| Phone | 3526712777 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | Secondary | 1342AD5690 | FL |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | Primary | — | — |
Copy-ready billing details
Provider: Marion Youth Development Center NPI: 1629099890 Taxonomy: 322D00000X (Emotionally Disturbed Childrens' Residential Treatment Facility) Address: 4055 NW 105TH ST, Ocala, FL, 34482
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962420133 | Tracy Miller | Individual | Mental Health Counselor | Ocala, FL |
Verify this record
Cross-check NPI 1629099890 against the authoritative CMS record: view Marion Youth Development Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Marion Youth Development Center located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.