Youth Organizations Umbrella

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

060673-10 Issued in IL

Legal business name

YOUTH ORGANIZATIONS UMBRELLA

Practice address

1027 Sherman Ave
Evanston, IL 60202-6500

Phone

(847) 866-1200

Fax

(847) 866-9143

NPI assigned

Sep 17, 2009

Last updated

Sep 17, 2009By 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

Donald A. Baker

Title

Executive Director

Phone

(847) 866-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1790018067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602026500",
            "telephone_number": "847-866-1200",
            "fax_number": "847-866-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602026500",
            "telephone_number": "847-866-1200",
            "fax_number": "847-866-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH ORGANIZATIONS UMBRELLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-866-1200"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "060673-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Andrew Young, LCPC, CADC
• Susan Elise Yount, PH.D.
• Jan Yourist
• Yousef Darwish MD.PC
• Nadim Z Youssef, M.D.
• Jaung Yun, CNP
• Jessica Yunez, MPH
• Margaret Yungbluth, M.D.
• Damian Zabielski, LAC, MSTOM
• Mohammad Khadeer Zaheerullah, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Evanston, IL
• Providers in Evanston, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.