Organization Active NPI

Center on Deafness

  • Mental Illness Community Based Residential Treatment Facility
  • Northbrook, IL
National Provider Identifier
1316124142
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
91C076 Issued in IL
Legal business name
CENTER ON DEAFNESS
Practice address
3444 Dundee Rd
Northbrook, IL 60062-2201
Phone
(847) 559-0110
Fax
(847) 559-8199
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Lupe Villanueva
Title
Executive Director
Phone
(847) 559-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 91C076 IL Primary

Addresses

Primary practice location

3444 Dundee Rd
Northbrook, IL 60062-2201

Mailing address

3444 Dundee Rd
Northbrook, IL 60062-2201
Phone (847) 559-0110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cod@centerondeafness.org

National Provider Directory

National Provider Directory
Tax ID family
Center on Deafness4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3444 Dundee Rd
Northbrook, IL 60062
Phone (847) 559-0110

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1316124142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622201",
            "telephone_number": "847-559-0110",
            "fax_number": "847-559-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622201",
            "telephone_number": "847-559-0110",
            "fax_number": "847-559-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER ON DEAFNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "LUPE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-559-0110"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "91C076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cod@centerondeafness.org",
            "affiliation": "N",
            "address_1": "3444 Dundee Rd",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.