NPIMap

Organization Active NPI

Brightside Recovery

  • Community/Behavioral Health Agency
  • Belvidere, IL
National Provider Identifier
1265045371
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHTSIDE RECOVERY
Practice address
1667 Belvidere Rd
Belvidere, IL 61008-9306
Phone
(779) 237-3550
Fax
(224) 205-7866
NPI assigned
Aug 28, 2020
Last updated
Mar 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Jennifer Kilpatrick
Title
Manager
Phone
(224) 220-1378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1667 Belvidere Rd
Belvidere, IL 61008-9306

Mailing address

1667 Belvidere Rd
Belvidere, IL 61008-9306
Phone (708) 360-7022

National Provider Directory

National Provider Directory
Tax ID family
Brightside Recovery7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1667 Belvidere Rd
Belvidere, IL 61008
Phone (224) 205-7863

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1265045371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 BELVIDERE RD",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089306",
            "telephone_number": "708-360-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 BELVIDERE RD",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089306",
            "telephone_number": "779-237-3550",
            "fax_number": "224-205-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-220-1378"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.