NPIMap

Organization Active NPI

Cornerstone Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kankakee, IL
National Provider Identifier
1053746388
Registry record updated Jun 22, 2021
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
CORNERSTONE SERVICES, INC
Practice address
1475 Harvard Dr # 3
Kankakee, IL 60901-8451
Phone
(815) 823-8412
Fax
(815) 823-8431
NPI assigned
Sep 5, 2013
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Mr. Benjamin Stortz
Title
Ceo
Phone
(815) 741-7045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1475 Harvard Dr # 3
Kankakee, IL 60901-8451

Mailing address

1475 Harvard Dr # 3
Kankakee, IL 60901-8451
Phone (815) 823-8412

Other identifiers 1

IdentifierTypeStateIssuer
04039OtherILDEPT OF HUMAN SERVICES CERTIFICATION NUMBER

Other names 1

  • Harvard Other name

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Services in17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

1475 Harvard Dr
#3
Kankakee, IL 60901
Phone (815) 823-8412

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1053746388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 HARVARD DR # 3",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609018451",
            "telephone_number": "815-823-8412",
            "fax_number": "815-823-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HARVARD DR # 3",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609018451",
            "telephone_number": "815-823-8412",
            "fax_number": "815-823-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "STORTZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-741-7045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HUMAN SERVICES CERTIFICATION NUMBER",
            "identifier": "04039",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvard",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Harvard",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.