NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC. (NPI# 1124531322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124531322 |
Entity Type | Organization |
Organization Name | NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC. |
Practice Address |
530 Park Ave E Ste 206b Princeton IL 61356-3902 |
Mailing Address |
Po Box 1488 La Salle IL 61301-3488 |
Practice Telephone | 8152230160 |
Practice Fax Number | 8152231634 |
Mailing Telephone | 8152230160 |
Mailing Fax Number | 8152231634 |
Enumeration Date | 2017-11-09 |
Last Update Date | 2017-11-09 |
Authorized Official Name | LARRY F BLOCK (CFO) |
Authorized Official Telephone | 8152245001 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1073633418 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2007-03-30 |
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 |
530 PARK AVE E STE 206B |
City | PRINCETON |
State | IL |
Zip Code | 61356-3902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851804058 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 530 Park Ave E Ste 206b, Princeton, IL 61356-3902 | 2017-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
Find all providers in zip 61356 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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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.