Robert Young Center

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ROBERT YOUNG CENTER

Practice address

2701 - 17 Street
Rockisland, IL 61201

Phone

(309) 799-2957

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

UNITY POINT HEALTHAs reported in NPPES

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

Authorized official

Name

Paul PharesNPI 1720532492

Title

Mental Health Director

Phone

(309) 779-3060

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Phares

  • Mental Health Counselor
  • Rock Island, IL
  • NPI 1720532492
  Authorized official Same address or phone

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1124575733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701-17 STREET",
            "city": "ROCKISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-779-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 - 17 STREET",
            "city": "ROCKISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-799-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT YOUNG CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITY POINT HEALTH",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "PHARES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MENTAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "309-779-3060"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Bernandine Ricketts, PHD
• Anthony T. Riordan, LMFT
• River Valley Family Practice LTD (David Gannon, MD)
• Kimberly Roark
• Robert W Milas MD SC
• Patricia A Robinson, CRC, LBSW
• Rock Island Dental Associates LLP
• Rock Island Nursing and Rehab Center, LLC
• Rock Island Optometric Center LTD (Mercer County Family Eyecare)
• Rock Island School District 41

• Mental Illness Community Based Residential Treatment Facility in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Mental Illness Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.