NPIMap

Organization Active NPI

Kenneth Young Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Schaumburg, IL
National Provider Identifier
1720833650
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KENNETH YOUNG CENTER
Practice address
650 E Algonquin Rd Ste 104
Schaumburg, IL 60173-3853
Phone
(847) 496-5939
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Brenda Perez Meraz
Title
Executive Administrative Assistant
Phone
(847) 524-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

650 E Algonquin Rd Ste 104
Schaumburg, IL 60173-3853

Mailing address

1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217
Phone (847) 524-8800

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2191536Kenneth Young Center650 E Algonquin Rd - Ste 104, Schaumburg, IL 60173Certificate of waiverAug 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Kenneth Young Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

650 E Algonquin Rd
Ste 104
Schaumburg, IL 60173
Phone (847) 496-5939

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1720833650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROHLWING RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073217",
            "telephone_number": "847-524-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E ALGONQUIN RD STE 104",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733853",
            "telephone_number": "847-496-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH YOUNG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ MERAZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "847-524-8800"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.