OMNI YOUTH SERVICES (NPI# 1720525678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720525678 |
| Entity Type | Organization |
| Organization Name | OMNI YOUTH SERVICES |
| Other Organization Name | OMNI YOUTH SERVICES |
| Practice Address |
210 N Wolf Rd Wheeling IL 60090-2922 |
| Practice Telephone | 8473531500 |
| Mailing Telephone | 8473531500 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | DORYCE MCCARTHY (PRESIDENT) |
| Authorized Official Telephone | 8473531758 |
| Is Organization Subpart | Y |
| Parent Organization Name | OMNI YOUTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| OMNI Youth Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134369663 | Omni Youth Services | Community/Behavioral Health | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2009-02-24 |
| 1205076858 | Omni Youth Services | Community/Behavioral Health | 1616 N Arlington Heights Rd, Arlington Heights, IL 60004-3981 | 2009-02-23 |
| 1194896944 | Omni Youth Services | Community/Behavioral Health | 1111 W Lake Cook Rd, Buffalo Grove, IL 60089-1926 | 2006-11-13 |
| 1043665896 | Omni Youth Services | Community/Behavioral Health | 1111 W Lake Cook Rd, Buffalo Grove, IL 60089-1926 | 2016-04-29 |
| 1790130607 | Omni Youth Services | Community/Behavioral Health | 1616 N Arlington Heights Rd, Arlington Heights, IL 60004-3981 | 2016-04-28 |
| 1689814105 | Omni Youth Services | Community/Behavioral Health | 2900 N Main St, Buffalo Grove, IL 60089-2717 | 2009-02-24 |
| 1043450562 | Omni Youth Services | Community/Behavioral Health | 1025 Old Mchenry Rd, Lake Zurich, IL 60047-8428 | 2009-02-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | OMNI Youth Services LLC | 1537 Talley Circle, Portsmouth, Virginia 23704 |
| System for Award Management (SAM) Entities | OMNI YOUTH SERVICES, INCORPORATED | 1111 W Lake Cook Rd, Buffalo Grove, IL 60089-1926 |
| Street Address |
210 N WOLF RD |
| City | WHEELING |
| State | IL |
| Zip Code | 60090-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134369663 | Omni Youth Services | Community/Behavioral Health | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2009-02-24 |
| 1669071817 | Sandra Garcia | Counselor | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2020-10-20 |
| 1174130231 | Madhulika Khare | Counselor | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2020-09-23 |
| 1063027878 | Yolanda Burgos | Counselor | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2020-09-09 |
| 1336773464 | Fabiola Mercado | Counselor | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2020-02-27 |
| 1326670316 | Maritza Garcia | Counselor | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2020-02-07 |
| 1982240719 | Yolanda Huicochea | Social Worker | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2019-11-27 |
| 1629638200 | Andres Misquez | Social Worker | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2019-06-17 |
| 1558921403 | Peggy Patrizia Keese | Counselor | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2019-06-13 |
| 1912565391 | Jessica Depke | Counselor | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320318 | Suhani Shail Shah | Pharmacist | Broadway Ave Pharmacy, 151 N 19th Ave, Melrose Park, IL 60090 | 2017-11-22 |
| 1164933479 | Vilija Ball | Psychologist | 307 S Milwaukee Ave Ste 103, Wheeling, IL 60090 | 2017-10-13 |
| 1184143117 | Jeremy Holtmeier | Psychologist | Wheeling School District 21, 999 West Dundee Road, Wheeling, IL 60090 | 2017-09-11 |
| 1326589128 | Nicole Tinetti | Student in an Organized Health Care Education/Training Program | 1410 Marcy Ln, Wheeling, IL 60090 | 2017-03-13 |
| 1881065365 | Melissa Theresa Ballak | Pharmacist | 1400 E Lake-cook Road, Wheeling, IL 60090 | 2015-10-09 |
| 1083031249 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 43 W Dundee Rd, Wheeling, IL 60090 | 2014-03-26 |
| 1508137464 | Kras Medical S.c. | Dentist | 1532 West Lale Cook Road, Wheeling, IL 60090 | 2012-01-24 |
| 1629351077 | Kedvon Pharmacy Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 56 South Milwaukee Ave., Wheeling, IL 60090 | 2011-09-22 |
| 1992038814 | Ida Neyman | Specialist | 45 Prairie Park Dr., Apt 503, Wheeling, IL 60090 | 2009-09-10 |
| 1396078275 | Funtastic Gymnastic LLC | Physical Therapist | 401 S. Milwaukee Ave, Suite 235, Wheeling, IL 60090 | 2009-09-10 |
| Find all providers in zip 60090 | ||||
| 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 |
|---|---|---|---|---|
| 1245772177 | The Village Network | Community/Behavioral Health | 52 Fourteenth Street, Wheeling, WV 26041 | 2016-11-09 |
| 1811281611 | Ohio Valley Counseling Services | Community/Behavioral Health | 54 Indiana St, Wheeling, WV 26003-2280 | 2011-06-09 |
| 1447558101 | Mansuetto-coville Psychological Services, Pllc | Community/Behavioral Health | 98 E Cove Ave Unit E, Wheeling, WV 26003-5080 | 2011-03-04 |
| 1215230685 | Department of Veterans Affairs Vet Center | Community/Behavioral Health | 1058 E Bethlehem Blvd, Wheeling, WV 26003-4961 | 2010-12-07 |
| 1134369663 | Omni Youth Services | Community/Behavioral Health | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2009-02-24 |
| 1851842603 | Florence Crittenton Programs Inc. | Community/Behavioral Health | 2606 National Rd, Wheeling, WV 26003-5370 | 2016-10-17 |
| 1013286988 | Northwood Health Systems Inc | Community/Behavioral Health | 2121 Eoff St, Wheeling, WV 26003-3805 | 2011-12-22 |
| 1215103338 | Wellspring Family Services | Community/Behavioral Health | 2606 National Rd, Wheeling, WV 26003-5370 | 2008-05-08 |
| 1609069871 | Dhont & Associates, Inc. | Community/Behavioral Health | 250 Park Ave, Wheeling, IL 60090-5067 | 2007-08-21 |
| 1649277559 | Northwood Health Systems Inc | Community/Behavioral Health | 2121 Eoff St, Wheeling, WV 26003-3805 | 2005-07-07 |
| Find all providers in WHEELING | ||||
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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.