Active NPI
The Thresholds
Doing business as Young Adult Program Hart House
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Chicago, IL
National Provider Identifier
1114684131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- THE THRESHOLDS
- Practice address
- 3016 W Gunnison St
Chicago, IL 60625-4302 - Phone
- (773) 572-5500
- Fax
- (773) 572-5240
- NPI assigned
- Nov 24, 2021
- Last updated
- Jul 14, 2022
- 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
- Marcella Klauer
- Title
- Executive Assistant, Quality Team
- Phone
- (773) 572-5480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
3016 W Gunnison St
Chicago, IL 60625-4302
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5500
Other names 1
- Young Adult Program Hart House
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040517000766 | IL | Part B Supplier - Clinic/Group Practice | 6204826647 |
Receives reassigned benefits from 36 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Thresholds
- Part of
- Thresholds
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
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
-
dba Young Adult Program Mary Hill House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1124275037
-
dba Bridge Southwest
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1144476458
-
dba West Suburbs
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1154876050
-
dba Substance Use Treatment West
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1154977585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1114684131",
"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",
"fax_number": "773-572-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3016 W GUNNISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606254302",
"telephone_number": "773-572-5500",
"fax_number": "773-572-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2021-11-24",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "KLAUER",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT, QUALITY TEAM",
"authorized_official_telephone_number": "773-572-5480"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Young Adult Program Hart House",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Young Adult Program Hart House",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Young Adult Program Hart House",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- The Thresholds (Deaf Kiley House)
- The Thresholds (Substance Use Treatment West)
- The Thresholds (Mothers Project)
- The Thresholds
- The Thresholds (Homeless Outreach Program Safe Haven)
- The Thresholds (Young Adult Program Mary Hill House)
- The Thresholds (Bridge Southwest)
- The Thresholds (West Suburbs)
- The Thresholds (Substance Use Treatment West)
- The Thresholds
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.