360 YOUTH SERVICES (NPI# 1396020640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396020640 |
| Entity Type | Organization |
| Organization Name | 360 YOUTH SERVICES |
| Other Organization Name | NCO YOUTH AND FAMILY SERVICES |
| Practice Address |
1323 Bond St Ste 119 Naperville IL 60563-2368 |
| Mailing Address |
1548 Bond St Suite 114 Naperville IL 60563-6508 |
| Practice Telephone | 6307179408 |
| Practice Fax Number | 6305968496 |
| Mailing Telephone | 6307179408 |
| Mailing Fax Number | 6305968496 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | MARGOT E. SMITH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6307179408 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| NCO Youth and Family Services | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336690239 | 360 Youth Services | Counselor | 1548 Bond St Ste 114, Naperville, IL 60563-6509 | 2016-10-17 |
| 1518336908 | 360 Youth Services | Counselor | 1935 Brookdale Rd Ste 119, Naperville, IL 60563-3034 | 2015-09-16 |
| Street Address |
1323 BOND ST STE 119 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-2368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477820249 | Christina Melville | Counselor | 1323 Bond St Ste 119, Naperville, IL 60563-2368 | 2011-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720541915 | Healing Mind Counseling Services LLC | Community/Behavioral Health | 1169 Banyon Ct, Naperville, IL 60540-6344 | 2019-04-13 |
| 1982143368 | Illinois Medical and Behavioral Care, LLC | Community/Behavioral Health | 1601 N Bond Street, Suite 201, Naperville, IL 60563-0115 | 2017-02-17 |
| 1538532908 | Konick and Associates, PC | Community/Behavioral Health | 3380 Lacrosse Ln, Suite 106, Naperville, IL 60564-8520 | 2015-11-07 |
| 1003201492 | Evolve Therapy and Associates, Inc. | Community/Behavioral Health | 11259 Anvil Ct, Naperville, IL 60564-8036 | 2015-04-01 |
| 1295168300 | Jawahar Alvi | Community/Behavioral Health | 5s681 Park Meadow Dr, Naperville, IL 60540-3854 | 2013-08-12 |
| 1043487549 | Michele Mauro, Psy.d., P.C. | Community/Behavioral Health | 3309 Cool Springs Ct, Naperville, IL 60564-8240 | 2008-05-13 |
| 1720256225 | Charlene Thobe Scott, Inc. Dba Riverwalk Counseling Center, Inc | Community/Behavioral Health | 710 E Ogden Ave Ste 320, Naperville, IL 60563-8620 | 2008-02-19 |
| 1275726424 | Psycholegal & Clinical Assessment Services, Inc | Community/Behavioral Health | 2135 City Gate Ln, Suite 300, Naperville, IL 60563-3081 | 2007-08-21 |
| 1720698202 | Unifying Therapy | Community/Behavioral Health | 50 S Main St Ste 200, Naperville, IL 60540-5485 | 2020-08-09 |
| 1720580889 | Bases Group Inc | Community/Behavioral Health | 5s681 Park Meadow Dr, Naperville, IL 60540-3854 | 2018-03-05 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.