Active NPI
Meadows Outpatient Center Illinois LLC
- Adult Mental Health Clinic/Center
- Downers Grove, IL
National Provider Identifier
1679211502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MEADOWS OUTPATIENT CENTER ILLINOIS LLC
- Practice address
- 3250 Lacey Rd Ste 100
Downers Grove, IL 60515-8354 - Phone
- (928) 684-4039
- NPI assigned
- May 20, 2022
- 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. Tracy Livingston
- Title
- VP of Revenue Cycle
- Phone
- (928) 684-4039
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
3250 Lacey Rd Ste 100
Downers Grove, IL 60515-8354
Mailing address
19820 N 7TH St Ste 205
Phoenix, AZ 85024-1694
Phone (928) 684-4039
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Woodridge, IL
- NPI 1073612941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672012800000",
"number": "1679211502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19820 N 7TH ST STE 205",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850241694",
"telephone_number": "928-684-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 LACEY RD STE 100",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605158354",
"telephone_number": "928-684-4039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOWS OUTPATIENT CENTER ILLINOIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-20",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A",
"authorized_official_last_name": "LIVINGSTON",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "VP OF REVENUE CYCLE",
"authorized_official_telephone_number": "928-684-4039",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.