Organization Active NPI

Good Hope Behavioral Health

  • Adult Mental Health Clinic/Center
  • Hinsdale, IL
National Provider Identifier
1417258781
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Sep 5, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036-108963MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110420000791 IL Part B Supplier - Clinic/Group Practice 6305021114 Receives reassigned benefits from 4 practitioners
Practice locations: Hinsdale, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.