NPIMap

Organization Active NPI

Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
National Provider Identifier
1053563007
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Practice address
1305 E. New Indian Trail
Aurora, IL 60505
Phone
(630) 966-4290
Fax
(630) 978-7962
NPI assigned
Oct 21, 2008
Last updated
Mar 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Frances L. Baker
Title
President
Phone
(630) 966-4001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1305 E. New Indian Trail
Aurora, IL 60505

Mailing address

309 New Indian Trail Court
Aurora, IL 60506-2494
Phone (630) 966-4168

National Provider Directory

National Provider Directory
Tax ID family
Aid40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1053563007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NEW INDIAN TRAIL COURT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062494",
            "telephone_number": "630-966-4168",
            "fax_number": "630-844-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E. NEW INDIAN TRAIL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60505",
            "telephone_number": "630-966-4290",
            "fax_number": "630-978-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION FOR INDIVIDUAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-966-4001"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.