Active NPI
Corey & Cynthia F. Dabney Behavioral Health Hospital
- Adult Mental Health Clinic/Center
- Chicago, IL
National Provider Identifier
1306586631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL
- Practice address
- 845 W 69TH St
Chicago, IL 60621-1709 - Phone
- (773) 651-6809
- NPI assigned
- Apr 1, 2022
- Organization subpart
- Yes
- Parent organization
- COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Corey Dabney, PH.D.
- Title
- Chief Clinical Officer
- Phone
- (773) 651-6809
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Case Management Agency | 251B00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
845 W 69TH St
Chicago, IL 60621-1709
Mailing address
PO Box 2912
Naperville, IL 60567-2912
Phone (773) 651-6809
Other names 1
- Dabney Behavioral Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://app.therapynotes.com | Direct | Corey & Cynthia F. Dabney Behavioral Health Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191024001924 | IL | Part B Supplier - Clinic/Group Practice | 5294067237 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1255804167
O20191024001924
National Provider Directory
National Provider Directory- Tax ID family
- Corey Cynthia F Dabney Behavioral Health Hospital
- Part of
- Corey Cynthia F Dabney Behavioral Health Hospital
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1255804167
Locations
845 W 69th St
Chicago, IL 60621
Phone (773) 382-4615
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1255804167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1306586631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2912",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605672912",
"telephone_number": "773-651-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 W 69TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606211709",
"telephone_number": "773-651-6809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL",
"enumeration_date": "2022-04-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "DABNEY",
"authorized_official_first_name": "COREY",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "773-651-6809",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://app.therapynotes.com",
"affiliation": "Y",
"endpointDescription": "TherapyNotes EHR portal",
"affiliationName": "Corey & Cynthia F. Dabney Behavioral Health Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "845 W 69th St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606211709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Dabney Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.