KENNETH YOUNG CENTER (NPI# 1932533841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932533841 |
| Entity Type | Organization |
| Organization Name | KENNETH YOUNG CENTER |
| Practice Address |
1585 Dempster St Myers Place Suite 113 Mount Prospect IL 60056-4978 |
| Mailing Address |
1001 Rohlwing Rd Elk Grove Village IL 60007-3217 |
| Practice Telephone | 8475248800 |
| Practice Fax Number | 8475248824 |
| Mailing Telephone | 8475248800 |
| Mailing Fax Number | 8475248824 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | MR. JAMES BRUSKI (HUMAN RESOURCES MANAGER) |
| Authorized Official Telephone | 8475248800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
201209 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902358930 | Kenneth Young Center | Clinic/Center | 2418 E Hintz Rd, Arlington Heights, IL 60004-2268 | 2016-10-25 |
| 1629083241 | Kenneth Young Center | Clinic/Center | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2006-07-30 |
| 1386201465 | Kenneth Young Center | Clinic/Center | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2019-05-23 |
| 1518364520 | Kenneth Young Center | Clinic/Center | 1585 Dempster St, Suite 110, Mount Prospect, IL 60056-4978 | 2014-11-20 |
| 1073925772 | Kenneth Young Center | Community/Behavioral Health | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2014-05-29 |
| 1376895532 | Kenneth Young Center | Point of Service | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2012-10-11 |
| 1174897292 | Kenneth Young Center | Clinic/Center | 1 Illinois Blvd, Suite 107, Hoffman Estates, IL 60169-3314 | 2012-03-07 |
| Street Address |
1585 DEMPSTER ST MYERS PLACE SUITE 113 |
| City | MOUNT PROSPECT |
| State | IL |
| Zip Code | 60056-4978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605106 | Marjan Matin | Registered Nurse | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2020-09-30 |
| 1679116172 | Brittany Lynn Broviak | Counselor | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2019-10-28 |
| 1225595994 | Aleksandra Wojtowicz | Counselor | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2019-02-28 |
| 1942781950 | Tawanda Williams | Registered Nurse | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2018-08-27 |
| 1689155152 | Adriana Arellano | Social Worker | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2018-08-23 |
| 1720503998 | Mayra Ascencio | Counselor | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2017-08-09 |
| 1295262350 | Keri Harshbarger | Social Worker | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2017-05-18 |
| 1417488867 | Yolanda Dailey | Counselor | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2017-03-27 |
| 1326410192 | Rebecca Ann Horwitz | Social Worker | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2015-10-20 |
| 1154790392 | Christina Hall | Counselor | 1585 Dempster St, Mount Prospect, IL 60056-4978 | 2015-09-17 |
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|---|---|---|---|---|
| 1023649829 | Blocki and Bashford Dental, LLC | Dentist | 200 E. Evergreen, Suite 129, Mt. Prospect, IL 60056 | 2020-01-30 |
| 1740745934 | Luminate Therapy Group of Illinois, LLC | Behavioral Analyst | 580 Slawin Court, Mt. Prospect, IL 60056 | 2019-02-01 |
| 1952884009 | Erin Kathleen Neal | Social Worker | 1550 Bishop Court, Mount Prospect, IL 60056 | 2018-09-13 |
| 1215431028 | Teandra Gelemer Delancy | Social Worker | Kenneth Young Center, 1585 West Dempster St, Mt. Prospect, IL 60056 | 2018-03-19 |
| 1578071650 | Azk Transportation Inc | Non-emergency Medical Transport (VAN) | 415 E Prospect Ave, 3c, Mount Prospect, IL 60056 | 2018-01-11 |
| 1275059859 | Sara Tyburski | Psychologist | 701 W Gregory, Mount Prospect, IL 60056 | 2017-08-16 |
| 1487197257 | Roma R D'silva | General Practice | 608 South Noah Terrace, Mount Prospect, IL 60056 | 2016-11-29 |
| 1568918159 | Georgeshia Norwood | Social Worker | 1820 West Dempster, Mount Prospect, IL 60056 | 2016-09-01 |
| 1568919025 | Scott G Smoron Dds Msd Ltd | Dentist | 421 W. Prospect Ave., Mount Prospect, IL 60056 | 2016-09-01 |
| 1568918365 | Kathleen Huttner | Counselor | 1820 W. Dempser, Kenneth Young Center, Mount Prospect, IL 60056 | 2016-08-31 |
| Find all providers in zip 60056 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518364520 | Kenneth Young Center | Clinic/Center | 1585 Dempster St, Suite 110, Mount Prospect, IL 60056-4978 | 2014-11-20 |
| 1376730028 | Mark D. Parisi, Psy.d., P.C. | Clinic/Center | 800 E Northwest Hwy Ste 106, Mount Prospect, IL 60056-3457 | 2007-09-26 |
| 1487728283 | Mark D Parisi Psy D & Associates PC | Clinic/Center | 800 E Northwest Hwy Ste 106, Mount Prospect, IL 60056-3457 | 2006-11-20 |
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| Find all providers with the same taxonomy | ||||
| City | MOUNT PROSPECT |
| Zip Code | 60056 |
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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.