Bremen Youth Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BREMEN YOUTH SERVICES

Practice address

15350 Oak Park Ave
Oak Forest, IL 60452-1500

Phone

(708) 687-9200

Fax

(708) 687-9211

NPI assigned

Sep 22, 2010

Last updated

Nov 3, 2011By 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

Mr. Donald Sebek, M.ED.

Title

Executive Director

Phone

(708) 687-9200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1841508926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 OAK PARK AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521500",
            "telephone_number": "708-687-9200",
            "fax_number": "708-687-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 OAK PARK AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521500",
            "telephone_number": "708-687-9200",
            "fax_number": "708-687-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMEN YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "SEBEK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-687-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Monika Borzecki
• Malcolm K Brachman Jr., PHD
• Bradley Therapy and Wellness
• Barry A Brandes, D.P.M.
• Sarah Jean Brandt
• Gina Breuer, L.S.W.
• Anita Jo Brown
• Norman Brown, SOCIAL WORKER
• Patrice Brown, BCBA
• Aleena Buff

• Community/Behavioral Health Agency in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.