Youth Crossroads, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

YOUTH CROSSROADS, INC.

Practice address

6501 Stanley Ave
Berwyn, IL 60402-3123

Phone

(708) 484-7400

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Josephine Dicesare, MA

Title

Executive Director

Phone

(708) 484-7400

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jaclyn Wallen

  • Mental Health Counselor
  • Berwyn, IL
  • NPI 1083227995
  NPD

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1629778550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023123",
            "telephone_number": "708-484-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023123",
            "telephone_number": "708-484-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CROSSROADS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "DICESARE",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-484-7400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeel Ahmed Yaseen, MD
• Sirisha D Yellayi, DO
• Darlene Kay Yoder, LCPC
• Young Men'S Christian Association of Berwyn-Cicero
• Krista Dionne Young, DO
• Maria G Yu, PHARMD
• Yeo Yeong Yun, M.D.
• Serena Zacharias, MD
• Muhammad Faizan Zafar, MD
• Zahav of Berwyn LLC

• Adolescent and Children Mental Health Clinic/Center in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.