360 YOUTH SERVICES (NPI# 1518336908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518336908 |
| Entity Type | Organization |
| Organization Name | 360 YOUTH SERVICES |
| Practice Address |
1935 Brookdale Rd Ste 119 Naperville IL 60563-3034 |
| Practice Telephone | 6307179408 |
| Mailing Telephone | 6307179408 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | MRS. MARGOT SMITH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6307179408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180009446 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336690239 | 360 Youth Services | Counselor | 1548 Bond St Ste 114, Naperville, IL 60563-6509 | 2016-10-17 |
| 1396020640 | 360 Youth Services | Community/Behavioral Health | 1323 Bond St Ste 119, Naperville, IL 60563-2368 | 2011-10-19 |
| Street Address |
1935 BROOKDALE RD STE 119 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649547936 | Martin Beirne | Counselor | 1935 Brookdale Rd Ste 119, Naperville, IL 60563-3034 | 2011-11-30 |
| 1073971396 | Brian Page | Counselor | 1935 Brookdale Rd Ste 119, Naperville, IL 60563-3034 | 2016-02-01 |
| 1447677893 | Kevin Stromberg | Counselor | 1935 Brookdale Rd Ste 119, Naperville, IL 60563-3034 | 2014-03-24 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1821603895 | Laura M Murray | Counselor | 2712 Forgue Dr Ste 112, Naperville, IL 60564-4230 | 2020-09-15 |
| 1801408935 | Gina Dickison | Counselor | 2311 Bill Ct, Naperville, IL 60565-5240 | 2020-08-19 |
| 1528683208 | Linda Puetz | Counselor | 23w281 Hampton Cir, Naperville, IL 60540-9424 | 2020-06-09 |
| 1134755416 | Courtney Krishona Berry | Counselor | 2211 Waterleaf Ct Unit 202, Naperville, IL 60564-4969 | 2020-03-18 |
| 1710526843 | Jamie M Miles Haynes | Counselor | 4295 Gardenview Dr Apt 211, Naperville, IL 60564-1648 | 2020-01-06 |
| 1780222331 | Ellen R Kuefler | Counselor | 1129 Big Foot Ln, Naperville, IL 60563-2470 | 2019-12-13 |
| 1033773213 | Chelsea Bogda | Counselor | 1754 N Washington St Ste 104a, Naperville, IL 60563-1462 | 2019-04-23 |
| 1811450208 | Jessica L. Kush | Counselor | 29 S Webster St Ste 106, Naperville, IL 60540-5353 | 2019-04-11 |
| 1427511518 | Takeisha Rheams | Counselor | 500 E Ogden Ave Ste 101, Naperville, IL 60563-3264 | 2019-04-07 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on 360 YOUTH SERVICES.
| 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.