ILLINOIS YOUTH ADVOCATE PROGRAM (NPI# 1871662882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871662882 |
| Entity Type | Organization |
| Organization Name | ILLINOIS YOUTH ADVOCATE PROGRAM |
| Practice Address |
191 W 155th Pl Harvey IL 60426-3413 |
| Practice Telephone | 7085966955 |
| Practice Fax Number | 7085967464 |
| Mailing Telephone | 7085966955 |
| Mailing Fax Number | 7085967464 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDWARD M. FARMER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7085966955 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 338374-06 | IL | Agencies |
| Street Address |
191 W 155TH PL |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235774191 | Corina Herrera | Psychologist | 191 W 155th Pl, Harvey, IL 60426-3413 | 2019-11-14 |
| 1144523341 | Aunt Marthas Youth Service Center Inc | Foster Care Agency | 191 W 155th Pl, Harvey, IL 60426-3413 | 2010-12-09 |
| 1568638500 | Aunt Martha's Youth Service Center | Case Management | 191 W 155th Pl, Harvey, IL 60426-3413 | 2008-04-30 |
| 1447371554 | West Harvey-dixmoor Sd #147 | Local Education Agency (LEA) | 191 W 155th Pl, Harvey, IL 60426-3413 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747484 | Hav-it Services | Community/Behavioral Health | 1800 Allen Ave, Harvey, ND 58341-1727 | 2020-10-12 |
| 1154929297 | Hav-it Services | Community/Behavioral Health | 301 Jackson Ave, Harvey, ND 58341-1300 | 2020-10-12 |
| 1295332559 | Hav-it Services | Community/Behavioral Health | 409 Brewster St W, Harvey, ND 58341-1466 | 2020-10-08 |
| 1124649967 | Trena Harris | Community/Behavioral Health | 1752 Wedgwood Dr, Harvey, LA 70058-7436 | 2020-05-04 |
| 1619508074 | Stairway To Greatness Mentorship-entrepreneurship Program | Community/Behavioral Health | 18 Wells Ave, Harvey, IL 60426-1217 | 2020-02-03 |
| 1841797651 | Extensions of Life LLC | Community/Behavioral Health | 2209 Lapalco Blvd Ste II, Harvey, LA 70058-6123 | 2018-04-09 |
| 1285173187 | Quinnette White | Community/Behavioral Health | 4044 Mayhaw Dr, Harvey, LA 70058-5029 | 2017-02-13 |
| 1902268980 | Acidom Medical Services II LLC | Community/Behavioral Health | 3864 Deercreek Ln, Harvey, LA 70058-2115 | 2016-03-28 |
| 1336544808 | New Visions Behavioral Health Center, LLC | Community/Behavioral Health | 1901 Westbank Expy Ste 300, Harvey, LA 70058-4370 | 2014-10-27 |
| 1275967226 | New Choice Intervention, Inc. | Community/Behavioral Health | 142 E 154th St, Harvey, IL 60426-3326 | 2013-08-27 |
| Find all providers in HARVEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.