Active NPI
The Thresholds
- Community/Behavioral Health Agency
- Westmont, IL
National Provider Identifier
1033573092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 04133
- Legal business name
- THE THRESHOLDS
- Practice address
- 422 N Cass Ave
Room 105
Westmont, IL 60559-1502 - Phone
- (773) 537-3304
- NPI assigned
- Apr 6, 2016
- Last updated
- Apr 19, 2018
- Organization subpart
- Yes
- Parent organization
- THE THRESHOLDS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Al Shoreibah
- Title
- Cfo
- Phone
- (773) 572-5262
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | 04133 | IL | Primary |
Addresses
Primary practice location
422 N Cass Ave
Room 105
Westmont, IL 60559-1502
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04133 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Thresholds West Suburbs
- Part of
- Thresholds West Suburbs
Organizations with this tax ID in the same state 14
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Young Adult Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1003062399
-
dba Northside Housing Polk House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1013164326
-
dba Deaf Kiley House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1053625061
-
dba Substance Use Treatment West
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1063068492
-
dba Mothers Project
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063715613
-
dba Bridge Southwest DuPage CST
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westmont, IL
- NPI 1083590996
-
dba McHenry AMI House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1083861512
-
- Community/Behavioral Health Agency
- Woodstock, IL
- NPI 1083861975
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1093202558
-
dba Homeless Outreach Program Safe Haven
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1104073329
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1093039125
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1093056814
Locations
422 N Cass Ave
Rm 105
Westmont, IL 60559
Phone (773) 537-3304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524096000000",
"number": "1033573092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132193",
"telephone_number": "773-572-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 N CASS AVE",
"address_2": "ROOM 105",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591502",
"telephone_number": "773-537-3304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2016-04-06",
"last_updated": "2018-04-19",
"status": "A",
"authorized_official_last_name": "SHOREIBAH",
"authorized_official_first_name": "AL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "773-572-5262"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "04133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04133",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.