NPIMap

Organization Active NPI

Omni Youth Services

Doing business as OMNI Youth Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Libertyville, IL
National Provider Identifier
1952082075
Registry record updated Jan 8, 2026
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
OMNI YOUTH SERVICES
Doing business as
OMNI Youth Services, Inc
Practice address
1880 W Winchester Rd Ste 108
Libertyville, IL 60048-5321
Phone
(224) 676-2317
Fax
(847) 353-1759
NPI assigned
Jul 31, 2023
Organization subpart
Yes
Parent organization
OMNI YOUTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Doryce McCarthy, LCSWNPI 1235607268
Title
President
Phone
(847) 353-1758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1880 W Winchester Rd Ste 108
Libertyville, IL 60048-5321

Mailing address

1111 W Lake Cook Rd
Buffalo Grove, IL 60089-1926
Phone (847) 353-1758

Other names 1

  • OMNI Youth Services, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Omni Youth Services Inc11 organizations share this tax ID, including this one
Part of
Omni Youth Services Inc

Other organizations with this tax ID 10

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

Locations

1880 W Winchester Rd
Ste 108
Libertyville, IL 60048
Phone (224) 676-2317

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1952082075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W LAKE COOK RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891926",
            "telephone_number": "847-353-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD STE 108",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485321",
            "telephone_number": "224-676-2317",
            "fax_number": "847-353-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI YOUTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNI YOUTH SERVICES, INC.",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "DORYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-353-1758",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI Youth Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.