NPIMap

Organization Active NPI

Yellowbrick

  • Community/Behavioral Health Agency
  • Evanston, IL
National Provider Identifier
1770752297
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
042.619076 Issued in IL
Legal business name
YELLOWBRICK
Practice address
1560 Sherman Ave.
Suite 400
Evanston, IL 60201-4803
Phone
(847) 869-1500
Fax
(847) 869-1515
NPI assigned
Feb 28, 2008
Last updated
Aug 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Dr. Jesse L Viner, M.D.NPI 1427150960
Title
Exec. Medical Director
Phone
(847) 869-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.009652 IL
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X 042.619076 IL Primary

Addresses

Primary practice location

1560 Sherman Ave.
Suite 400
Evanston, IL 60201-4803

Mailing address

1560 Sherman Ave.
Suite 400
Evanston, IL 60201-4803
Phone (847) 869-1500

National Provider Directory

National Provider Directory

Locations

1560 Sherman Ave
Ste 400
Evanston, IL 60201
Phone (847) 869-1500

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1770752297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE.",
            "address_2": "SUITE 400",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014803",
            "telephone_number": "847-869-1500",
            "fax_number": "847-869-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE.",
            "address_2": "SUITE 400",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014803",
            "telephone_number": "847-869-1500",
            "fax_number": "847-869-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWBRICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "VINER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXEC. MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-869-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.009652",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "042.619076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.