NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC (NPI# 1124044318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124044318 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC |
| Practice Address |
2960 Chartres St. Lasalle IL 61301 |
| Mailing Address |
Po Box 1488 Lasalle IL 61301 |
| Practice Telephone | 8152230160 |
| Practice Fax Number | 8152231634 |
| Mailing Telephone | 8152230160 |
| Mailing Fax Number | 8152231634 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-03-07 |
| 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 |
|---|---|---|---|---|
| 1891327144 | North Central Behavioral Health Systems, Inc | Clinic/Center | 111 Spring St Ste 320-328, Streator, IL 61364-3332 | 2020-02-05 |
| 1467791574 | North Central Behavioral Health Systems, Inc | Clinic/Center | 319 6th St, Lacon, IL 61540-1221 | 2013-02-08 |
| 1578683991 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2007-03-30 |
| Street Address |
2960 CHARTRES ST. |
| City | LASALLE |
| State | IL |
| Zip Code | 61301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578683991 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2007-03-30 |
| 1124148549 | North Central Behavioral Helath Systems, Inc. | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912453 | Matthew V Hartman | Dentist | 941 First St, La Salle, IL 61301 | 2008-08-22 |
| 1164501078 | Pamela F Wolf | Counselor | 146 Gooding Street, La Salle, IL 61301 | 2006-11-02 |
| 1265514343 | Rose Mary Schaumberg | Nurse Practitioner | 2970 Chartres Street, Lasalle, IL 61301 | 2006-10-19 |
| 1578668141 | Cynthia L. Ashley | Psychologist | 206 Marquette Street, Suite 203, Lasalle, IL 61301 | 2006-09-14 |
| 1922016849 | Mary Therese Petrella | Nurse Practitioner | 2970 Chartres, Hygienic Institute Community Health Clinic, La Salle, IL 61301 | 2006-08-04 |
| 1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
| 1962445247 | William Michael White | Dentist | 225 Gooding St, Suite 1, La Salle, IL 61301 | 2006-06-14 |
| 1619267135 | Gergovich Family Chiropractic, LLC. | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2011-04-18 |
| 1659538270 | Edward J Fesco Md Sc | Surgery | 206 Marquette St, Room 206, Lasalle, IL 61301 | 2008-05-21 |
| 1538368733 | Daniel E Oconnell | Dentist | 206 Marquette St, Lasalle, IL 61301 | 2007-07-17 |
| Find all providers in zip 61301 | ||||
| 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 |
|---|---|---|---|---|
| 1578683991 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2007-03-30 |
| 1124148549 | North Central Behavioral Helath Systems, Inc. | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2007-03-30 |
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| 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.