Active NPI
Good Hope Behavioral Health
- Adult Mental Health Clinic/Center
- Hinsdale, IL
National Provider Identifier
1417258781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- GOOD HOPE BEHAVIORAL HEALTH
- Practice address
- 12 Salt Creek LN
Suite 405
Hinsdale, IL 60521-8605 - Phone
- (630) 789-7800
- NPI assigned
- Nov 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Denise B
- Title
- Administrator
- Phone
- (630) 789-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
12 Salt Creek LN
Suite 405
Hinsdale, IL 60521-8605
Mailing address
12 Salt Creek LN
Suite 405
Hinsdale, IL 60521-8605
Phone (630) 789-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-108963 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12 Salt Creek Ln
Ste 405
Hinsdale, IL 60521
Phone (630) 789-7800
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Hinsdale, IL
- NPI 1699781310
-
- Professional Counselor
- St Charles, IL
- NPI 1255860656
-
- Psychiatry Physician
- Hinsdale, IL
- NPI 1366451304
-
- Clinical Social Worker
- Hinsdale, IL
- NPI 1235149626
-
- Clinical Social Worker
- Hinsdale, IL
- NPI 1598706905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378339200000",
"number": "1417258781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SALT CREEK LN",
"address_2": "SUITE 405",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605218605",
"telephone_number": "630-789-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SALT CREEK LN",
"address_2": "SUITE 405",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605218605",
"telephone_number": "630-789-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD HOPE BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-03",
"last_updated": "2013-09-05",
"status": "A",
"authorized_official_last_name": "B",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "630-789-7800",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-108963",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.