NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC. (NPI# 1073633418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073633418 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC. |
| Practice Address |
727 E Etna Rd Ottawa IL 61350-1040 |
| Practice Telephone | 8152230160 |
| Practice Fax Number | 8152231634 |
| Mailing Telephone | 8152230160 |
| Mailing Fax Number | 8152231634 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LARRY BLOCK (VP-FINANCE) |
| Authorized Official Telephone | 8152230160 |
| Authorized Official Credential | CPA |
| 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) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124531322 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 530 Park Ave E Ste 206b, Princeton, IL 61356-3902 | 2017-11-09 |
| 1780108985 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 111 Spring St Ste 320-328, Streator, IL 61364-3332 | 2017-07-29 |
| 1134249550 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 727 Etna Rd., Ottawa, IL 61350 | 2007-03-30 |
| 1407976285 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-29 |
| 1528188380 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 17 Northpoint Dr, Streator, IL 61364-1159 | 2007-03-29 |
| 1851804058 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 530 Park Ave E Ste 206b, Princeton, IL 61356-3902 | 2017-11-09 |
| 1205345766 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 111 Spring St Ste 28, Streator, IL 61364-3332 | 2017-09-27 |
| 1891034906 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 120 E Court St, Toulon, IL 61483-5388 | 2013-02-08 |
| 1982724324 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 526 S Bureau Valley Pkwy, Perry Plaza, Princeton, IL 61356-2046 | 2007-03-30 |
| 1790805133 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 526 S Bureau Valley Pkwy, Perry Plaza, Princeton, IL 61356-2046 | 2007-03-30 |
| Street Address |
727 E ETNA RD |
| City | OTTAWA |
| State | IL |
| Zip Code | 61350-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023165578 | Mildred Elizabeth Roberts | Social Worker | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2007-01-05 |
| 1003321290 | Kaitlyn Rinke | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2017-12-10 |
| 1124387485 | Kayla A Alderman | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2012-05-08 |
| 1750662508 | Diana Marie Carter | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2011-09-07 |
| 1598815581 | Daniel E Veronda | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306336359 | Yulandist Jeannie Brown | Licensed Practical Nurse | 617 Columbus St, Ottawa, IL 61350 | 2018-05-15 |
| 1881071272 | Ashlee Herbold | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1718 N 2525th Rd, Ottawa, IL 61350 | 2015-05-05 |
| 1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
| 1538550868 | Erin Rose Boe | Physical Therapist | 2872 Columbus St, Unit 300, Ottawa, IL 61350 | 2015-02-09 |
| 1346572757 | Rebecca Samolitis | Counselor | 116 W Lafayette St, Suite 8, Ottawa, IL 61350 | 2010-02-10 |
| 1235383266 | Timothy I Miller O.d. P.C. | Optometrist | 107 E. Mckinley Rd., Ottawa, IL 61350 | 2008-11-04 |
| 1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
| 1598938755 | Radiation Oncology of Northern Illinois LLC | Radiology | 1200 Starfire Dr, Ottawa, IL 61350 | 2008-04-09 |
| 1154538510 | Serenityonwheels, Inc. | Counselor | Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 | 2007-05-16 |
| 1205040904 | Dixie Devry | Occupational Therapist | 2532 Reynolds Manor, Ottawa, IL 61350 | 2007-05-10 |
| Find all providers in zip 61350 | ||||
| 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 |
|---|---|---|---|---|
| 1417078395 | North Central Behavioral Health Systems, Inc.. | Clinic/Center | 617-619 4th Avenue, Ottawa, IL 61350-4015 | 2007-04-02 |
| 1134249550 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 727 Etna Rd., Ottawa, IL 61350 | 2007-03-30 |
| 1407976194 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 228 State St, Ottawa, IL 61350-3573 | 2007-03-29 |
| 1649296757 | Elizabeth Layton Center, Inc. | Clinic/Center | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2006-07-14 |
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|---|---|---|---|---|
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| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.