ECKER CENTER FOR BEHAVIORAL HEALTH (NPI# 1124644885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124644885 |
| Entity Type | Organization |
| Organization Name | ECKER CENTER FOR BEHAVIORAL HEALTH |
| Other Organization Name | ECKER CENTER FOR MENTAL HEALTH |
| Practice Address |
1845 Grandstand Pl Elgin IL 60123-6603 |
| Practice Telephone | 8476950484 |
| Practice Fax Number | 8475311405 |
| Mailing Telephone | 8476950484 |
| Mailing Fax Number | 8475311405 |
| Enumeration Date | 2020-06-18 |
| 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 |
| 1073138061 | Ecker Center for Behavioral Health | Clinic/Center | 409 Illinois Ave Unit 1a, St Charles, IL 60174-2966 | 2020-06-15 |
| 1184249179 | Ecker Center for Behavioral Health | Clinic/Center | 2 American Way, Elgin, IL 60120-4341 | 2020-06-15 |
| Street Address |
1845 GRANDSTAND PL |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275629263 | Daphne Sandouka | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2006-10-05 |
| 1649879123 | Rizik Mohammad | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-10-26 |
| 1649877606 | Daniel James Gibadlo | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-10-02 |
| 1689281073 | Melissa Pazen | Social Worker | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-29 |
| 1205441649 | Erik Malinowski | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-12 |
| 1225643174 | Jay Jackson Swanson | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-08 |
| 1487267985 | Kira Lucille Spears | Case Manager/Care Coordinator | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-08-25 |
| 1649880402 | Matthew F Aguilar | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-08-06 |
| 1306455308 | Michael Richard Jenig | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-07-26 |
| 1972129153 | Courtney Perrin | Social Worker | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356560320 | Abacus Program | Clinic/Center | 555 Tollgate Rd Ste A, Elgin, IL 60123-9314 | 2007-04-25 |
| 1184249179 | Ecker Center for Behavioral Health | Clinic/Center | 2 American Way, Elgin, IL 60120-4341 | 2020-06-15 |
| 1841414539 | Lutheran Social Services of Illinois | Clinic/Center | 675 Varsity Dr, Elgin, IL 60120-8176 | 2007-04-12 |
| 1679691323 | Renz Addiction Counseling Center | Clinic/Center | 2 American Way, Elgin, IL 60120-4341 | 2007-03-27 |
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|---|---|---|---|---|
| 1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
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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 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 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 |
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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.