NPIMap

Organization Active NPI

Allendale Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Villa, IL
National Provider Identifier
1821051608
Registry record updated Jul 21, 2022
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
ALLENDALE ASSOCIATION
Practice address
Grand Ave. and Offield Dr.
Lake Villa, IL 60046-1088
Phone
(847) 356-2351
Fax
(847) 356-2393
NPI assigned
Apr 11, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Christopher Anthony Schrantz, C.P.A., J.D.
Title
Chief Financial Officer
Phone
(847) 245-6214

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 001 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 001300-10 IL
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU

Addresses

Primary practice location

Grand Ave. and Offield Dr.
Lake Villa, IL 60046-1088

Mailing address

600 W Grand Ave
P.O. Box 1088
Lake Villa, IL 60046-8034
Phone (847) 356-2351

National Provider Directory

National Provider Directory

Locations

5465 Grand Ave
Gurnee, IL 60031
Phone (847) 356-3322

420 W Grand Ave
Lake Villa, IL 60046
Phone (847) 245-6475

420 W Grand Ave
Bradley Counseling Ctr
Lake Villa, IL 60046
Phone (847) 356-3322

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821051608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W GRAND AVE",
            "address_2": "P.O. BOX 1088",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468034",
            "telephone_number": "847-356-2351",
            "fax_number": "847-356-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRAND AVE. AND OFFIELD DR.",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600461088",
            "telephone_number": "847-356-2351",
            "fax_number": "847-356-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENDALE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "SCHRANTZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-245-6214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A., J.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "001",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "001300-10",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Villa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.