Organization Active NPI

Lake County Child Adolescent Behavioral Services

  • Adolescent and Children Mental Health Clinic/Center
  • Waukegan, IL
National Provider Identifier
1851315402
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
029 Issued in IL
Legal business name
LAKE COUNTY CHILD ADOLESCENT BEHAVIORAL SERVICES
Practice address
820 W Greenwood Ave
Waukegan, IL 60087-5034
Phone
(847) 360-3160
NPI assigned
Jul 27, 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
David Schanding
Title
Director of Behavioral Health
Phone
(847) 377-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 029 IL Primary

Addresses

Primary practice location

820 W Greenwood Ave
Waukegan, IL 60087-5034

Mailing address

3012 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8180

National Provider Directory

National Provider Directory
Tax ID family
Lake County Health Dept43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

820 W Greenwood Ave
Waukegan, IL 60087
Phone (847) 360-3160

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851315402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852321",
            "telephone_number": "847-377-8180",
            "fax_number": "847-336-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W GREENWOOD AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600875034",
            "telephone_number": "847-360-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY CHILD ADOLESCENT BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHANDING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "847-377-8180"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, 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.