Active NPI
Clearbrook
- Speech-Language Pathologist
- Rolling Meadows, IL
National Provider Identifier
1487742904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.005650
- 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, 2008
- 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
- Mrs. Brenda L Devito, M.S.,L.C.P.C.
- Title
- Director of Children Services
- Phone
- (847) 392-2812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 Center
Other organizations with this tax ID 15
Organizations that report the same tax identification number in the National Provider Directory.
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-
- Voluntary or Charitable Agency
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- Specialist
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-
- Developmentally Disabled Services Day Training Agency
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-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arlington Heights, IL
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-
- Intellectual Disabilities Intermediate Care Facility
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-
- Mental Health Clinic/Center (Including Community Mental Health Center)
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-
dba CMHC Lake
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Libertyville, IL
- NPI 1558125849
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rolling Meadows, IL
- NPI 1467022913
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.
-
- Speech-Language Pathologist
- Arlington Heights, IL
- NPI 1255574208
-
- Developmental Therapist
- Rolling Meadows, IL
- NPI 1194948679
-
- Developmental Therapist
- Rolling Meadows, IL
- NPI 1346408879
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.