Active NPI
The Thresholds
Doing business as Young Adult Program Mary Hill House
- Mental Illness Community Based Residential Treatment Facility
- Chicago, IL
National Provider Identifier
1770076028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- THE THRESHOLDS
- Practice address
- 7356 N Winchester Ave
Chicago, IL 60626-1509 - Phone
- (773) 572-5500
- NPI assigned
- Jun 12, 2018
- Last updated
- Jul 14, 2022
- Organization subpart
- Yes
- Parent organization
- THE THRESHOLDS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcella Klauer
- Title
- Executive Assistant
- Phone
- (773) 572-5480
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X |
Addresses
Primary practice location
7356 N Winchester Ave
Chicago, IL 60626-1509
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Other names 1
- Young Adult Program Mary Hill House
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040517000766 | IL | Part B Supplier - Clinic/Group Practice | 6204826647 |
Receives reassigned benefits from 36 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Thresholds
- Part of
- Thresholds
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Northside Housing Buffett Place
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1659764504
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1669488029
-
dba West Suburbs Safe Haven
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Melrose Park, IL
- NPI 1679720809
-
dba Northside Housing 2 Jacqueline Terrace
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1679729990
-
dba North Suburbs
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northfield, IL
- NPI 1689029589
-
dba Southside Housing Woodlawn House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1699922120
-
dba Young Adult Program Diane's House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1700032083
-
dba McHenry
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crystal Lake, IL
- NPI 1700274750
-
- Community Health Clinic/Center
- McHenry, IL
- NPI 1710717285
-
- Community Health Clinic/Center
- Chicago, IL
- NPI 1740010214
-
- Mental Health Counselor
- Chicago, IL
- NPI 1740815232
-
dba Young Adult Program Touhy REACH Apartments
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1780159723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1770076028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7356 N WINCHESTER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261509",
"telephone_number": "773-572-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2018-06-12",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "KLAUER",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
"authorized_official_telephone_number": "773-572-5480"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Young Adult Program Mary Hill House",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Young Adult Program Mary Hill House",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- The Thresholds (Northside Housing 2 Jacqueline Terrace)
- The Thresholds (Southside Housing Woodlawn House)
- The Thresholds (Young Adult Program Diane's House)
- The Thresholds
- The Thresholds
- The Thresholds (Young Adult Program Touhy REACH Apartments)
- The Thresholds (Thresholds Center for Mental Wellbeing - South)
- The Thresholds (Southside Housing Islander House)
- The Thresholds (Deaf California House)
- The Thresholds
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.