KENNETH YOUNG CENTER – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1629083241

KENNETH YOUNG CENTER is a healthcare provider. based in Elk grove village, Illinois. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for KENNETH YOUNG CENTER is 1629083241

Main info

Organization
Name
KENNETH YOUNG CENTER
NPI
1629083241
Phone
(847) 524-8800
Address
1001 ROHLWING RD
Authorized Official
JAMES BRUSKI HUMAN RESOURCES MANAGER
Enumeration Date
30 July 2006
Last Update Date
10 August 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for KENNETH YOUNG CENTER

  • 1001, Rohlwing Road, Elk Grove Village, Schaumburg Township, Cook County, Illinois, 60007, United States

    ELK GROVE VILLAGE, IL 600073217

    Phone: (847) 524-8800

    Fax: (847) 524-8824

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-07-31 (312 days ago).

Enrollment records

1

Earliest due date

2025-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20041109000272OClinic/Group PracticeIL2025-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60007)

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Reviews

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Frequently asked questions

Does KENNETH YOUNG CENTER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KENNETH YOUNG CENTER uses 1629083241.
Does the file indicate KENNETH YOUNG CENTER is practicing under active NPI?
Directory data currently reports KENNETH YOUNG CENTER as active.
What is KENNETH YOUNG CENTER best known for clinically?
Directory data describes KENNETH YOUNG CENTER with Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
What area does KENNETH YOUNG CENTER serve?
KENNETH YOUNG CENTER's listing highlights Elk Grove Village, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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