KENNETH YOUNG CENTER (NPI# 1902358930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902358930 |
| Entity Type | Organization |
| Organization Name | KENNETH YOUNG CENTER |
| Practice Address |
2418 E Hintz Rd Arlington Heights IL 60004-2268 |
| Mailing Address |
1001 Rohlwing Rd Elk Grove Village IL 60007-3217 |
| Practice Telephone | 8475248800 |
| Practice Fax Number | 8475248824 |
| Mailing Telephone | 8475248800 |
| Mailing Fax Number | 8475248824 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | MS. SUSAN COWEN (CHIEF EXECUTIVE OFFICIER) |
| Authorized Official Telephone | 8475248800 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 000004086 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932533841 | Kenneth Young Center | Clinic/Center | 1585 Dempster St, Myers Place Suite 113, Mount Prospect, IL 60056-4978 | 2013-08-27 |
| 1629083241 | Kenneth Young Center | Clinic/Center | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2006-07-30 |
| 1386201465 | Kenneth Young Center | Clinic/Center | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2019-05-23 |
| 1518364520 | Kenneth Young Center | Clinic/Center | 1585 Dempster St, Suite 110, Mount Prospect, IL 60056-4978 | 2014-11-20 |
| 1073925772 | Kenneth Young Center | Community/Behavioral Health | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2014-05-29 |
| 1376895532 | Kenneth Young Center | Point of Service | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2012-10-11 |
| 1174897292 | Kenneth Young Center | Clinic/Center | 1 Illinois Blvd, Suite 107, Hoffman Estates, IL 60169-3314 | 2012-03-07 |
| Street Address |
2418 E HINTZ RD |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578046579 | Courtney Holbrook | Social Worker | 2418 E Hintz Rd, Arlington Heights, IL 60004-2204 | 2018-09-14 |
| 1629505755 | Tiffany Joy Shreve | Counselor | 2418 E Hintz Rd, Arlington Heights, IL 60004-2268 | 2017-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1609975234 | Lake-cook Psychologists and Counseling Associates | Clinic/Center | 3285 N Arlington Heights Road, Suite 201, Arlington Heights, IL 60004 | 2006-09-21 |
| 1568729697 | Feiner Mental Health, L. L. C. | Clinic/Center | 120 W Eastman St, Suite 305-c, Arlington Heights, IL 60004-5937 | 2012-04-13 |
| 1437104403 | Elizabeth M. Bolash, Psy.d., PC | Clinic/Center | 115 S Wilke Rd, Suite 300, Arlington Heights, IL 60005-1532 | 2006-05-24 |
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| 1841807369 | Trinity Services Inc. | Clinic/Center | 14315 108th Ave Ste 222, Orland Park, IL 60467-5701 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
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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.