ASSOCIATION FOR INDIVIDUAL DEVELOPMENT (NPI# 1124488945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124488945 |
| Entity Type | Organization |
| Organization Name | ASSOCIATION FOR INDIVIDUAL DEVELOPMENT |
| Practice Address |
507 E Taylor St Dekalb IL 60115-4573 |
| Mailing Address |
309 New Indian Trail Ct Aurora IL 60506-2411 |
| Practice Telephone | 6309664475 |
| Mailing Telephone | 6309664475 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | FRANCES L. BAKER (PRESIDENT/CEO) |
| Authorized Official Telephone | 6909664001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1790300234 | Association for Individual Development | Clinic/Center | 1905 Althea Ln Fl 2, St Charles, IL 60174-3198 | 2020-06-10 |
| 1871118398 | Association for Individual Development | Clinic/Center | 104 E Downer Pl Fl 3, Aurora, IL 60505-3376 | 2020-06-10 |
| 1467077982 | Association for Individual Development | Clinic/Center | 126 N Center St Fl 1, South Elgin, IL 60177-1714 | 2020-06-10 |
| 1093338246 | Association for Individual Development | Clinic/Center | 1201 Dean St Lowr Level, Woodstock, IL 60098-3803 | 2020-05-22 |
| 1235752577 | Association for Individual Development | Clinic/Center | 5615 Liberty St, Richmond, IL 60071-9531 | 2020-05-21 |
| 1932754447 | Association for Individual Development | Clinic/Center | 3512 Pearl St, Mchenry, IL 60050-4442 | 2019-08-02 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1285119495 | Association for Individual Development | Clinic/Center | 2400 Hawks Dr Bsmt Level, Batavia, IL 60510-3800 | 2018-10-03 |
| Street Address |
507 E TAYLOR ST |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-4573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992295 | Dujuan Walker | Social Worker | 507 E Taylor St, Dekalb, IL 60115-4573 | 2020-05-06 |
| 1871007989 | Amanda Stasiewicz | Counselor | 507 E Taylor St, Dekalb, IL 60115-4573 | 2017-11-28 |
| 1629588132 | Hannah Kautz | Counselor | 507 E Taylor St, Dekalb, IL 60115-4573 | 2017-10-10 |
| 1669990420 | Jessica Jimenez | Counselor | 507 E Taylor St, Dekalb, IL 60115-4573 | 2017-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| 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 |
|---|---|---|---|---|
| 1528556669 | Associaiton for Individual Development | Clinic/Center | 304 N 6th St Ste C, Dekalb, IL 60115-3484 | 2018-04-24 |
| 1972788925 | Community Support Program/reality House | Clinic/Center | 631 S 1st St, Dekalb, IL 60115-4117 | 2008-01-08 |
| 1750327003 | Ben Gordon Center | Clinic/Center | 12 Health Services Drive, Dekalb, IL 60115 | 2006-06-22 |
| 1184154007 | Family Service Agency of Dekalb County, Inc. | Clinic/Center | 14 Health Services Dr, Dekalb, IL 60115-9637 | 2017-06-13 |
| 1306203856 | Dekalb Behavioral Health Foundation, Inc. | Clinic/Center | 631 S 1st St, Dekalb, IL 60115 | 2016-01-27 |
| 1255703450 | Dekalb Behavioral Health Foundation, Inc. | Clinic/Center | 12 Health Services Dr, Dekalb, IL 60115 | 2015-10-27 |
| 1700037512 | Ben Gordon Center | Clinic/Center | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 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.