Northeast Dupage Family and Youth Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES

Practice address

777 W Army Trail Blvd FL 2
Addison, IL 60101-3163

Phone

(630) 693-7934

NPI assigned

Jul 26, 2024

Last updated

Mar 5, 2025By 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

Shannon Hartnett

Title

Executive Director

Phone

(630) 903-6220

Specialties & licenses 2

Addresses

Tax ID family

Northeast Dupage Family and Youth Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Northeast Dupage Family and Youth Services

  • Adult Mental Health Clinic/Center
  • Bloomingdale, IL
  • NPI 1437973203
  NPD tax ID
• Northeast Dupage Family and Youth Services

  • Community/Behavioral Health Agency
  • Addison, IL
  • NPI 1710225487
  NPD tax ID

Locations

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1740019017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 W ARMY TRAIL BLVD FL 2",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013163",
            "telephone_number": "630-693-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W ARMY TRAIL BLVD FL 2",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013163",
            "telephone_number": "630-693-7934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Lake St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601081287",
            "country_code": "US",
            "telephone_number": "630-693-7934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "HARTNETT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-903-6220"
    },
    "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": []
}

• Nica Medical Equipment Supply
• Nilan Medical LLC
• Mary Susan Nogar, P.T.A.
• North Ave Immediate Care
• Northeast Dupage Family and Youth Services
• Northeast Dupage Surgery Center, LLC (Suburban Surgery Center of DuPage)
• Nos Healthcare Inc.
• Riyad Y Nouna, DDS
• Ausencio Nunez, M.D
• Colleen Ann O'Brien, OTR

• Adult Mental Health Clinic/Center in Addison, IL
• Providers in Addison, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.