NPIMap

Organization Active NPI

Orchard Village

  • Adult Mental Health Clinic/Center
  • Skokie, IL
National Provider Identifier
1306431960
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ORCHARD VILLAGE
Practice address
7620 Gross Point Rd
Skokie, IL 60077-2612
Phone
(847) 967-1800
NPI assigned
Mar 5, 2021
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Marlene Zielonka Hodges
Title
Cfo & Evp
Phone
(847) 583-7731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

7620 Gross Point Rd
Skokie, IL 60077-2612

Mailing address

7660 Gross Point Rd
Skokie, IL 60077-2613
Phone (847) 967-1800

National Provider Directory

National Provider Directory
Tax ID family
Orchard Village3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7620 Gross Point Rd
Skokie, IL 60077
Phone (847) 297-4444

Practitioners & affiliated clinicians

Practitioners 2

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": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1306431960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772613",
            "telephone_number": "847-967-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772612",
            "telephone_number": "847-967-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "ZIELONKA",
        "authorized_official_title_or_position": "CFO & EVP",
        "authorized_official_telephone_number": "847-583-7731"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

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