NPIMap

Organization Active NPI

The Thresholds

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chicago, IL
National Provider Identifier
1114684131
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
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
Organization subpart
Yes
Parent organization
THE THRESHOLDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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)CodeLicenseStatePrimary
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 identifiers 1

IdentifierTypeStateIssuer
04133MedicaidIL

Other names 1

  • Young Adult Program Hart House Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 West Suburbs122 organizations share this tax ID, including this one
Part of
Thresholds West Suburbs

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.

View all 24

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04133",
            "state": "IL"
        }
    ],
    "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

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.

Verify at the official NPI Registry.