NPIMap

Organization Active NPI

Omni Youth Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Buffalo Grove, IL
National Provider Identifier
1043665896
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
OMNI YOUTH SERVICES
Practice address
1111 W Lake Cook Rd
Buffalo Grove, IL 60089-1926
Phone
(847) 353-1500
Fax
(847) 465-1964
NPI assigned
Apr 29, 2016
Organization subpart
Yes
Parent organization
OMNI YOUTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Doryce McCarthy
Title
Coo
Phone
(847) 353-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1111 W Lake Cook Rd
Buffalo Grove, IL 60089-1926

Mailing address

1111 W Lake Cook Rd
Buffalo Grove, IL 60089-1926
Phone (847) 353-1500

Other identifiers 1

IdentifierTypeStateIssuer
08005OtherILDASA

Other names 1

  • OMNI Youth Services-BG DASA Other name

National Provider Directory

National Provider Directory
Tax ID family
Omni Youth Services Inc11 organizations share this tax ID, including this one
Part of
Omni Youth Services Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1043665896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W LAKE COOK RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891926",
            "telephone_number": "847-353-1500",
            "fax_number": "847-465-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W LAKE COOK RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891926",
            "telephone_number": "847-353-1500",
            "fax_number": "847-465-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI YOUTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNI YOUTH SERVICES",
        "enumeration_date": "2016-04-29",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "DORYCE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "847-353-1500"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DASA",
            "identifier": "08005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI Youth Services-BG DASA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OMNI Youth Services-BG DASA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.