OMNI YOUTH SERVICES (NPI# 1790130607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790130607 |
| Entity Type | Organization |
| Organization Name | OMNI YOUTH SERVICES |
| Other Organization Name | OMNI YOUTH SERVICES-AH DASA |
| Practice Address |
1616 N Arlington Heights Rd Arlington Heights IL 60004-3981 |
| Practice Telephone | 8473531500 |
| Practice Fax Number | 8472537230 |
| Mailing Telephone | 8473531500 |
| Mailing Fax Number | 8472537230 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | DORYCE MCCARTHY (COO) |
| Authorized Official Telephone | 8473531500 |
| 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 | 08005 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DASA | 08005 | 01 |
| Other Name | Type Code |
|---|---|
| OMNI Youth Services-AH DASA | 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 |
| 1720525678 | Omni Youth Services | Community/Behavioral Health | 210 N Wolf Rd, Wheeling, IL 60090-2922 | 2017-01-30 |
| 1043665896 | Omni Youth Services | Community/Behavioral Health | 1111 W Lake Cook Rd, Buffalo Grove, IL 60089-1926 | 2016-04-29 |
| 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 |
1616 N ARLINGTON HEIGHTS RD |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004-3981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205076858 | Omni Youth Services | Community/Behavioral Health | 1616 N Arlington Heights Rd, Arlington Heights, IL 60004-3981 | 2009-02-23 |
| 1255616025 | The Salvation Army Family and Community Services | Community/Behavioral Health | 1616 N Arlington Heights Rd, Arlington Heights, IL 60004-3981 | 2011-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| 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 |
|---|---|---|---|---|
| 1659736197 | Ortensia Napolitano, LLC | Community/Behavioral Health | 2015 S Arlington Heights Rd Ste 118a, Arlington Heights, IL 60005-4150 | 2015-12-29 |
| 1790125417 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 333 N. Kaspar, 2c, Arlington Heights, IL 60005 | 2013-06-26 |
| 1295179877 | Metropolitan Family Services | Community/Behavioral Health | 3365 N Arlington Heights Rd, Suite L, Arlington Heights, IL 60004-7700 | 2013-04-25 |
| 1710224951 | Mgb Services, Inc. | Community/Behavioral Health | 2803 N Windsor Dr, Arlington Heights, IL 60004-2141 | 2013-01-08 |
| 1831470251 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 332 N Salem Ave, 4c, Arlington Heights, IL 60005-1395 | 2011-08-30 |
| 1578844999 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 333 N Kaspar Ave, 2b, Arlington Heights, IL 60005-1282 | 2011-08-30 |
| 1144500109 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 1208 E Northwest Hwy, Arlington Heights, IL 60004-6793 | 2011-08-23 |
| 1811207251 | Adult Counseling Center, Inc. | Community/Behavioral Health | 415 E Golf Rd Ste 104, Arlington Heights, IL 60005-4049 | 2010-10-19 |
| 1912210667 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 333 Kaspar, 1c, Arlington Heights, IL 60005-1089 | 2010-07-23 |
| 1457664146 | Alexian Brothers Center for Mental Health | Community/Behavioral Health | 332 N. Salem, 3g, Arlington Heights, IL 60005-1089 | 2010-07-22 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
Please comment or provide details below to improve the information on OMNI 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.