NPIMap

Organization Active NPI

North Central Behavioral Health Systems, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Princeton, IL
National Provider Identifier
1124531322
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC.
Practice address
530 Park Ave E Ste 206B
Princeton, IL 61356-3902
Phone
(815) 223-0160
Fax
(815) 223-1634
NPI assigned
Nov 9, 2017
Last updated
Nov 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Larry F Block
Title
Cfo
Phone
(815) 224-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

530 Park Ave E Ste 206B
Princeton, IL 61356-3902

Mailing address

PO Box 1488
La Salle, IL 61301-3488
Phone (815) 223-0160

National Provider Directory

National Provider Directory
Tax ID family
North Central Behavioral Health Systems Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

530 Park Ave E
Ste 206B
Princeton, IL 61356

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1124531322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613013488",
            "telephone_number": "815-223-0160",
            "fax_number": "815-223-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E STE 206B",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613563902",
            "telephone_number": "815-223-0160",
            "fax_number": "815-223-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-224-5001"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.