Allendale Association

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

ALLENDALE ASSOCIATION

Practice address

600 W Grand Ave
Lake Villa, IL 60046-8034

Phone

(847) 356-2351

Fax

(847) 356-2393

NPI assigned

Sep 21, 2018

Last updated

May 3, 2021By the provider in NPPES

Organization subpart

No

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

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Allendale Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukegan, IL
  • NPI 1013215649
  NPD tax ID
• Allendale Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukegan, IL
  • NPI 1053619528
  NPD tax ID
• Allendale Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gurnee, IL
  • NPI 1154671030
  NPD tax ID
• Allendale Association

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Waukegan, IL
  • NPI 1447734884
  NPD tax ID
• Allendale Association

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Waukegan, IL
  • NPI 1801370242
  NPD tax ID
• Allendale Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Chicago, IL
  • NPI 1992003578
  NPD tax ID

Practitioners 1

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.

• Howard Jerome Owens Jr., LCPC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Villa, IL
  • NPI 1760261523
  NPD (past)

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": "1548744972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W GRAND AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468034",
            "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": "600 W GRAND AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468034",
            "telephone_number": "847-356-2351",
            "fax_number": "847-356-2393"
        }
    ],
    "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": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Illinois

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.