The Youth Spot

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE YOUTH SPOT

Practice address

3960 W Grand Ave
Chicago, IL 60651-2014

Phone

(872) 803-2130

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Tiffany Johnson

Title

Consultant

Phone

(773) 841-4368

Specialties & licenses 2

Addresses

Other names 1

• OUR Youth Mentoring Doing business as

Practitioners 1

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

• Saneeta Golden

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1609710979
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1487484119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512014",
            "telephone_number": "872-803-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512014",
            "telephone_number": "872-803-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUTH SPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "773-841-4368"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR Youth Mentoring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Women'S Practice
• The Womens Practice
• The Wrigleyville Dental Group
• The Yogi Esthe LLC
• The Youth Campus
• Kimberly E Thedford, MS, RDN, LDN
• Thedr.Com
• Thee Luxperience
• Rama Lakshmanarao Theegala, M.D
• Catherine Theis, DNP, APN, CCRN

• All providers in Chicago, IL
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.