NPIMap

Organization Active NPI

Ecker Center for Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elgin, IL
National Provider Identifier
1184249179
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ECKER CENTER FOR BEHAVIORAL HEALTH
Practice address
2 American Way
Elgin, IL 60120-4341
Phone
(847) 742-3545
Fax
(847) 742-3559
NPI assigned
Jun 15, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Pauline RochfortNPI 1639699978
Title
Billing Director
Phone
(847) 695-0484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2 American Way
Elgin, IL 60120-4341

Mailing address

1845 Grandstand PL
Elgin, IL 60123-6603
Phone (847) 695-0484

Other identifiers 1

IdentifierTypeStateIssuer
04050MedicaidIL

Other names 1

  • Ecker Center For Mental Health Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Ecker Center for Behavioral Health22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

2 American Way
Elgin, IL 60120
Phone (847) 742-3545

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1184249179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236603",
            "telephone_number": "847-695-0484",
            "fax_number": "847-531-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AMERICAN WAY",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204341",
            "telephone_number": "847-742-3545",
            "fax_number": "847-742-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKER CENTER FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "ROCHFORT",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "847-695-0484"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04050",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ecker Center For Mental Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.