NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES NPI 1710225487

NPI Information

  • NPI: 1710225487
  • Provider Name: NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 777 W ARMY TRAIL BLVD FL 2
    ADDISON, IL
    ZIP 60101
  • Phone: (630) 693-7934

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NPI Details

NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES is a community behavioral health in Addison, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES NPI is 1710225487. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

777 W ARMY TRAIL BLVD FL 2
ADDISON, IL
ZIP 60101-163
Phone: (630) 693-7934
Fax: (630) 332-3574

The provider's authorized official is Shannon Hartnett .
The authorized official title is Executive Director and has the following contact phone number (630) 903-6220.

The enumeration date for this NPI number is 1/30/2013 and was last updated on 3/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4251S00000XCommunity/Behavioral HealthILLINOISNo
5251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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