NPIMap

Organization Active NPI

Allendale Association

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Waukegan, IL
National Provider Identifier
1447734884
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ALLENDALE ASSOCIATION
Practice address
421 W Water St
Waukegan, IL 60085-5527
Phone
(847) 360-9560
Fax
(847) 360-0195
NPI assigned
Sep 21, 2018
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Mr. Christopher Anthony Schrantz, CPA, JD
Title
Chief Financial Officer
Phone
(847) 245-6214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

421 W Water St
Waukegan, IL 60085-5527

Mailing address

PO Box 1088
Lake Villa, IL 60046-1088
Phone (847) 356-2351

National Provider Directory

National Provider Directory
Tax ID family
Allendale Association7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1447734884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1088",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600461088",
            "telephone_number": "847-356-2351",
            "fax_number": "847-356-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W WATER ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855527",
            "telephone_number": "847-360-9560",
            "fax_number": "847-360-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENDALE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SCHRANTZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-245-6214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, JD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.