NPIMap

Organization Active NPI

Youth Services of Glenview-Northbrook

  • Voluntary or Charitable Agency
  • Glenview, IL
National Provider Identifier
1386058196
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
YOUTH SERVICES OF GLENVIEW-NORTHBROOK
Practice address
3080 W Lake Ave
Glenview, IL 60026-1210
Phone
(847) 724-2620
Fax
(847) 724-3499
NPI assigned
Jun 19, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Amy O'Leary, LCSWNPI 1356755466
Title
Executive Director
Phone
(847) 724-2620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

3080 W Lake Ave
Glenview, IL 60026-1210

Mailing address

3080 W Lake Ave
Glenview, IL 60026-1210
Phone (847) 724-2620

National Provider Directory

National Provider Directory

Locations

3080 W Lake Ave
Glenview, IL 60026
Phone (847) 724-2620

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1386058196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 W LAKE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261210",
            "telephone_number": "847-724-2620",
            "fax_number": "847-724-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 W LAKE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261210",
            "telephone_number": "847-724-2620",
            "fax_number": "847-724-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICES OF GLENVIEW-NORTHBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-724-2620",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.