ECKER CENTER FOR BEHAVIORAL HEALTH (NPI# 1073138061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073138061 |
Entity Type | Organization |
Organization Name | ECKER CENTER FOR BEHAVIORAL HEALTH |
Other Organization Name | ECKER CENTER FOR MENTAL HEALTH |
Practice Address |
409 Illinois Ave Unit 1a St Charles IL 60174-2966 |
Mailing Address |
1845 Grandstand Pl Elgin IL 60123-6603 |
Practice Telephone | 6305136886 |
Practice Fax Number | 6305136892 |
Mailing Telephone | 8476950484 |
Mailing Fax Number | 8475311405 |
Enumeration Date | 2020-06-15 |
Last Update Date | 2020-07-20 |
Authorized Official Name | PAULINE ROCHFORT (BILLING DIRECTOR) |
Authorized Official Telephone | 8476950484 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 04050 | 05 |
Other Name | Type Code |
---|---|
Ecker Center For Mental Health | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346888500 | Ecker Center for Behavioral Health | Clinic/Center | 1410 Getzelman Dr Apt 2e, Elgin, IL 60123-2054 | 2019-12-18 |
1760861959 | Ecker Center for Behavioral Health | Clinic/Center | 1012 Todd Farm Drive, Elgin, IL 60123 | 2015-05-21 |
1114312097 | Ecker Center for Behavioral Health | Clinic/Center | 1680 Mark Ave, Elgin, IL 60123-2907 | 2015-03-30 |
1972849719 | Ecker Center for Behavioral Health | Clinic/Center | 52 Surrey Dr, Elgin, IL 60123-5157 | 2012-12-26 |
1881930626 | Ecker Center for Behavioral Health | Clinic/Center | 1582 Mark Ave, Elgin, IL 60123-1960 | 2012-12-26 |
1386822591 | Ecker Center for Behavioral Health | Clinic/Center | 1475 Royal Blvd, Elgin, IL 60123-2040 | 2008-02-11 |
1427236157 | Ecker Center for Behavioral Health | Clinic/Center | 1383 Abbott Dr, Elgin, IL 60123-1865 | 2008-02-05 |
1982787693 | Ecker Center for Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 1845 Grandstand Place, Elgin, IL 60123 | 2006-10-24 |
1124644885 | Ecker Center for Behavioral Health | Clinic/Center | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-06-18 |
1184249179 | Ecker Center for Behavioral Health | Clinic/Center | 2 American Way, Elgin, IL 60120-4341 | 2020-06-15 |
Street Address |
409 ILLINOIS AVE UNIT 1A |
City | ST CHARLES |
State | IL |
Zip Code | 60174-2966 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043312838 | Katherine D. Brosier | Social Worker | 409 Illinois Ave Unit 1a, St Charles, IL 60174-2966 | 2006-09-02 |
1730576596 | Ecker Center for Behavioral Health | Clinic/Center | 409 Illinois Ave Unit 1a, St Charles, IL 60174-2966 | 2015-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
Find all providers in zip 60174 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
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1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
Find all providers with the same taxonomy |
City | ST CHARLES |
Zip Code | 60174 |
Please comment or provide details below to improve the information on ECKER CENTER FOR BEHAVIORAL HEALTH.
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.