NPIMap

Organization Active NPI

Bridge Youth & Family Services

  • Adolescent and Children Mental Health Clinic/Center
  • Palatine, IL
National Provider Identifier
1992458616
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BRIDGE YOUTH & FAMILY SERVICES
Practice address
721 S Quentin Rd Ste 103
Palatine, IL 60067-6778
Phone
(847) 485-3091
Fax
(847) 359-7525
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Heather Noel MlynekNPI 1184992950
Title
Quality Assurance and Compliance Di
Phone
(847) 485-3091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

721 S Quentin Rd Ste 103
Palatine, IL 60067-6778

Mailing address

721 S Quentin Rd Ste 103
Palatine, IL 60067-6778
Phone (847) 485-3091

National Provider Directory

National Provider Directory
Tax ID family
Bridge Youth Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1992458616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S QUENTIN RD STE 103",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676778",
            "telephone_number": "847-485-3091",
            "fax_number": "847-359-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S QUENTIN RD STE 103",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676778",
            "telephone_number": "847-485-3091",
            "fax_number": "847-359-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "MLYNEK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "QUALITY ASSURANCE AND COMPLIANCE DI",
        "authorized_official_telephone_number": "847-485-3091"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.