NPIMap

Organization Active NPI

Kenneth Young Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hoffman Estates, IL
National Provider Identifier
1174897292
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
201209 Issued in IL
Legal business name
KENNETH YOUNG CENTER
Practice address
1 Illinois Blvd
Suite 107
Hoffman Estates, IL 60169-3314
Phone
(847) 524-8800
Fax
(847) 524-8824
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Mr. James Bruski
Title
Human Resources Manager
Phone
(847) 524-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 201209 IL Primary

Addresses

Primary practice location

1 Illinois Blvd
Suite 107
Hoffman Estates, IL 60169-3314

Mailing address

1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217
Phone (847) 524-8800

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.

Locations

1 Illinois Blvd
Ste 107
Hoffman Estates, IL 60169
Phone (847) 844-6212

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1174897292",
    "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",
            "telephone_number": "847-524-8800",
            "fax_number": "847-524-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ILLINOIS BLVD",
            "address_2": "SUITE 107",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601693314",
            "telephone_number": "847-524-8800",
            "fax_number": "847-524-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH YOUNG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "BRUSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "HUMAN RESOURCES MANAGER",
        "authorized_official_telephone_number": "847-524-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "201209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.