Organization Active NPI

The Family Recovery Centers-Fox Valley, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • St Charles, IL
National Provider Identifier
1114407830
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
THE FAMILY RECOVERY CENTERS-FOX VALLEY, PLLC
Practice address
2075 Foxfield Rd Ste 103
St Charles, IL 60174-1402
Phone
(847) 457-6730
NPI assigned
Aug 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Ryanne R Bright
Title
Owner
Phone
(847) 457-6703

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2075 Foxfield Rd Ste 103
St Charles, IL 60174-1402

Mailing address

2075 Foxfield Rd Ste 103
St Charles, IL 60174-1402

National Provider Directory

National Provider Directory
Tax ID family
The Family Recovery Centers - West PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2075 Foxfield Rd
Ste 103
St Charles, IL 60174
Phone (630) 584-3400

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": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1114407830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 FOXFIELD RD STE 103",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FOXFIELD RD STE 103",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741402",
            "telephone_number": "847-457-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY RECOVERY CENTERS-FOX VALLEY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-03-31",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "RYANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-457-6703"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.