Organization Active NPI

Grace Integrated Behavioral Health Center PLLC

  • Adult Mental Health Clinic/Center
  • Elmhurst, IL
National Provider Identifier
1043066889
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GRACE INTEGRATED BEHAVIORAL HEALTH CENTER PLLC
Practice address
340 W Butterfield Rd Ste LLB
Elmhurst, IL 60126-5024
Phone
(630) 474-8919
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie McDevitt, MANPI 1710327788
Title
Owner
Phone
(708) 512-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

340 W Butterfield Rd Ste LLB
Elmhurst, IL 60126-5024

Mailing address

340 W Butterfield Rd Ste LLB
Elmhurst, IL 60126-5024
Phone (630) 474-8919

National Provider Directory

National Provider Directory

Locations

2500 S Highland Ave
Ste 325
Lombard, IL 60148
Phone (630) 495-9810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1043066889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W BUTTERFIELD RD STE LLB",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265024",
            "telephone_number": "630-474-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W BUTTERFIELD RD STE LLB",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265024",
            "telephone_number": "630-474-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE INTEGRATED BEHAVIORAL HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "MCDEVITT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-512-5555",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.