NPIMap

Organization Active NPI

Youth Services Network

  • Case Management Agency
  • Rockford, IL
National Provider Identifier
1790001600
Registry record updated May 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
305692-06 Issued in IL
Legal business name
YOUTH SERVICES NETWORK
Practice address
107 N 3Rd St
Rockford, IL 61107-4010
Phone
(815) 986-1947
Fax
(815) 986-1954
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2015

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

Authorized official

Name
Ms. Mary Ellen Commare, LCPC
Title
Executive Director
Phone
(815) 986-1947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 305692-06 IL Primary

Addresses

Primary practice location

107 N 3Rd St
Rockford, IL 61107-4010

Mailing address

107 N 3Rd St
Rockford, IL 61107-4010
Phone (815) 986-1947

National Provider Directory

National Provider Directory
Tax ID family
CFC 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432425600000",
    "number": "1790001600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N 3RD ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074010",
            "telephone_number": "815-986-1947",
            "fax_number": "815-986-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N 3RD ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074010",
            "telephone_number": "815-986-1947",
            "fax_number": "815-986-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICES NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2015-05-24",
        "status": "A",
        "authorized_official_last_name": "COMMARE",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-986-1947",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "305692-06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2015; 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.