The Robert Young Center for Community Mental Health

Key facts

NPI

1871542829

Entity type

Organization (NPI type 2)

Primary specialty

Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Legal business name

THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH

Practice address

2701 17TH St
Rock Island, IL 61201-5351

Phone

(309) 779-3001

NPI assigned

May 8, 2006

Organization subpart

No

Authorized official

Name

Dennis Duke

Title

President

Phone

(309) 779-2043

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Robert Young Center for Community Mental Health Mental Health Clinic/Center (Including Community Mental Health Center) · Moline, IL · NPI 1376909309
  Same enrollment O20050705000917

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Robert Young Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 17, 2021.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1871542829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5078",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612045078",
            "telephone_number": "309-779-3001",
            "fax_number": "309-779-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 17TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015351",
            "telephone_number": "309-779-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527613426",
            "country_code": "US",
            "telephone_number": "563-264-9501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-779-2043"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Young Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Island, IL

• The Robert Young Center for Community Mental Health
• The Robert Young Center for Community Mental Health
• The Robert Young Center for Community Mental Health
• The Robert Young Center for Community Mental Health
• The Robert Young Center for Community Mental Health
• The Robert Young Center for Community Mental Health
• Erica Theis, ARNP
• Thomas a Brozovich DC PC
• Chantelle Rose Thomas
• Clarissa Ann Thomas, SLP

All providers in Rock Island, IL · Substance Use Disorder Rehabilitation Clinic/Center in Illinois