NPIMap

Organization Active NPI

Kenneth Young Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elk Grove Village, IL
National Provider Identifier
1124801402
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KENNETH YOUNG CENTER
Practice address
936 Jefferson SQ Apt C
Elk Grove Village, IL 60007-4051
Phone
(847) 524-8800
NPI assigned
Aug 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Brenda Perez Meraz
Title
Executive Administrative Assistant
Phone
(847) 524-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

936 Jefferson SQ Apt C
Elk Grove Village, IL 60007-4051

Mailing address

1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217

National Provider Directory

National Provider Directory
Tax ID family
Kenneth Young Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1124801402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROHLWING RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 JEFFERSON SQ APT C",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600074051",
            "telephone_number": "847-524-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH YOUNG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ MERAZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "847-524-8800"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.