Organization Active NPI

Clearbrook CMHC Cook

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rolling Meadows, IL
National Provider Identifier
1467022913
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLEARBROOK CMHC COOK
Practice address
1895 Rohlwing Rd
Rolling Meadows, IL 60008-4802
Phone
(478) 385-5041
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEARBROOKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Hollis Gorrie
Title
Vice President of Programs
Phone
(847) 385-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1895 Rohlwing Rd
Rolling Meadows, IL 60008-4802

Mailing address

1835 W Central Rd
Arlington Heights, IL 60005-2410
Phone (847) 385-5041

National Provider Directory

National Provider Directory
Tax ID family
Clearbrook16 organizations share this tax ID, including this one
Part of
Clearbrook

Other organizations with this tax ID 15

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

View all 15

Locations

1895 Rohlwing Rd
Rolling Meadows, IL 60008
Phone (478) 385-5041

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1467022913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052410",
            "telephone_number": "847-385-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 ROHLWING RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084802",
            "telephone_number": "478-385-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARBROOK CMHC COOK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARBROOK",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "GORRIE",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROGRAMS",
        "authorized_official_telephone_number": "847-385-5041"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.