NPIMap

Organization Active NPI

Elgin Mental Health Center Brunk 4495

  • Psychiatric Hospital Unit
  • Elgin, IL
National Provider Identifier
1366566887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
ELGIN MENTAL HEALTH CENTER BRUNK 4495
Practice address
750 S State St
Elgin, IL 60123-7612
Phone
(847) 742-1040
Fax
(847) 429-4910
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Raul S. Almazar, RN, MA
Title
Hospital Administrator
Phone
(847) 742-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

750 S State St
Elgin, IL 60123-7612

Mailing address

750 S State St
Elgin, IL 60123-7612
Phone (847) 742-1040

National Provider Directory

National Provider Directory
Tax ID family
Elisabeth Ludeman Center292 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

750 S State St
Elgin, IL 60123
Phone (847) 742-1040

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366566887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S STATE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237612",
            "telephone_number": "847-742-1040",
            "fax_number": "847-429-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S STATE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237612",
            "telephone_number": "847-742-1040",
            "fax_number": "847-429-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN MENTAL HEALTH CENTER BRUNK 4495",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALMAZAR",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "847-742-1040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.