The Youth Campus

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

141828 Issued in IL

Legal business name

THE YOUTH CAMPUS

Practice address

901 W Jackson Blvd
5TH Floor
Chicago, IL 60607-3023

Phone

(312) 243-0533

Fax

(312) 243-7610

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. James J. Guidi, PSY.D., CADC

Title

Chief Executive Officer

Phone

(847) 823-5161

Specialties & licenses 1

Addresses

Tax ID family

The Youth Campus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Youth Campus

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Park Ridge, IL
  • NPI 1801858444
  NPD tax ID

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1497073241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682764",
            "telephone_number": "847-823-5161",
            "fax_number": "847-823-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W JACKSON BLVD",
            "address_2": "5TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073023",
            "telephone_number": "312-243-0533",
            "fax_number": "312-243-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUTH CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "GUIDI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "847-823-5161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., CADC"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "141828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Women'S Group of Northwestern
• The Women'S Practice
• The Womens Practice
• The Wrigleyville Dental Group
• The Yogi Esthe LLC
• The Youth Spot
• Kimberly E Thedford, MS, RDN, LDN
• Thedr.Com
• Thee Luxperience
• Rama Lakshmanarao Theegala, M.D

• All providers in Chicago, IL
• Foster Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.