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NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES
NPI 1740019017
Clinic/Center - Adult Mental Health in Addison, IL

Active since July 26, 2024
777 W ARMY TRAIL BLVD FL 2, ADDISON, IL 60101(630) 693-7934 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Jan 8, 2025, Aug 19, 2024 and 1 more (4 updates tracked since 2024).

About Northeast Dupage Family And Youth Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES (NPI 1740019017) is a healthcare organization registered as an adult mental health in Addison, Illinois and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Bloomingdale and lists Shannon Hartnett, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1740019017
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameNORTHEAST DUPAGE FAMILY AND YOUTH SERVICES
Location Address777 W ARMY TRAIL BLVD FL 2Addison, IL 60101-3163
Mailing Address777 W Army Trail Blvd Fl 2Addison, IL 60101-3163 · (630) 693-7934
Phone(630) 693-7934
Organization SubpartNo
Authorized OfficialShannon HartnettExecutive Director · (630) 903-6220
Enumeration DateJuly 26, 2024
Last NPPES UpdateMarch 5, 20254 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1740019017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
777 W ARMY TRAIL BLVD FL 2, Addison, IL 60101
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Secondary Practice Location 1

Location 1255 E Lake St Ste 300Bloomingdale, IL 60108-1287 · Phone (630) 693-7934

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA PENDERGAST LSW
Social Worker
777 W ARMY TRAIL BLVD FL 2
ADDISON, IL 60101
Dupage County (630) 693-7934
NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES
Community/Behavioral Health
777 W ARMY TRAIL BLVD FL 2
ADDISON, IL 60101
Dupage County (630) 693-7934
SEAN HERBERT LCSW
Social Worker (Clinical)
777 W ARMY TRAIL BLVD FL 2
ADDISON, IL 60101
Dupage County (630) 693-7934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Dupage Family And Youth Services's NPI number?

The NPI number for Northeast Dupage Family And Youth Services is 1740019017. It was assigned to this organization in the NPPES registry on July 26, 2024.

Where is Northeast Dupage Family And Youth Services located?

Northeast Dupage Family And Youth Services is located at 777 W Army Trail Blvd Fl 2, Addison, IL 60101. The listed phone number is (630) 693-7934.

What is Northeast Dupage Family And Youth Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Northeast Dupage Family And Youth Services was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.