Active NPI
Developing Our Youth, NFP
- Adult Mental Health Clinic/Center
- Homewood, IL
National Provider Identifier
1508795113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- DEVELOPING OUR YOUTH, NFP
- Practice address
- 930 175TH St Ste 1W
Homewood, IL 60430-2078 - Phone
- (708) 269-0691
- NPI assigned
- May 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shantrell Sutton McKenzie, PHD
- Title
- Consultant
- Phone
- (779) 267-1418
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
930 175TH St Ste 1W
Homewood, IL 60430-2078
Mailing address
930 175TH St Ste 1W
Homewood, IL 60430-2078
Phone (708) 269-0691
National Provider Directory
National Provider DirectoryLocations
930 175th St
Ste 1W
Homewood, IL 60430
Phone (708) 269-0691
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Hazel Crest, IL
- NPI 1144110560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779062400000",
"number": "1508795113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 175TH ST STE 1W",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302078",
"telephone_number": "708-269-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 175TH ST STE 1W",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302078",
"telephone_number": "708-269-0691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPING OUR YOUTH, NFP",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A",
"authorized_official_last_name": "SUTTON MCKENZIE",
"authorized_official_first_name": "SHANTRELL",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "779-267-1418",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"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": []
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.