Organization Active NPI

Clearbrook

  • Speech-Language Pathologist
  • Rolling Meadows, IL
National Provider Identifier
1487742904
Registry record updated Oct 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.005650 Issued in IL
Legal business name
CLEARBROOK
Practice address
3705 Pheasant Dr
Rolling Meadows, IL 60008-2634
Phone
(847) 392-2812
NPI assigned
Oct 10, 2006
Last updated
Oct 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2008

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

Authorized official

Name
Mrs. Brenda L Devito, M.S.,L.C.P.C.
Title
Director of Children Services
Phone
(847) 392-2812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146.005650 IL Primary

Addresses

Primary practice location

3705 Pheasant Dr
Rolling Meadows, IL 60008-2634

Mailing address

1027 N Drury LN
Arlington Heights, IL 60004-5760
Phone (847) 398-1473

National Provider Directory

National Provider Directory
Tax ID family
Clearbrook Center16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223164800000",
    "number": "1487742904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 N DRURY LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045760",
            "telephone_number": "847-398-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 PHEASANT DR",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082634",
            "telephone_number": "847-392-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-10-05",
        "status": "A",
        "authorized_official_last_name": "DEVITO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF CHILDREN SERVICES",
        "authorized_official_telephone_number": "847-392-2812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.005650",
            "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 Oct 5, 2008; 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.