NPIMap

Organization Active NPI

Stonybrook Center Inc.

  • Health Service Clinic/Center
  • Wheaton, IL
National Provider Identifier
1831709492
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
STONYBROOK CENTER INC.
Practice address
1506 E Roosevelt Rd
Wheaton, IL 60187-6806
Phone
(630) 221-1400
Fax
(630) 221-1411
NPI assigned
Aug 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Charles Walter, BSM
Title
Director of Operations
Phone
(630) 221-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1506 E Roosevelt Rd
Wheaton, IL 60187-6806

Mailing address

1506 E Roosevelt Rd
Wheaton, IL 60187-6806
Phone (630) 221-1400

National Provider Directory

National Provider Directory
Tax ID family
Stonybrook Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1831709492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876806",
            "telephone_number": "630-221-1400",
            "fax_number": "630-221-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876806",
            "telephone_number": "630-221-1400",
            "fax_number": "630-221-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONYBROOK CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "630-221-1400",
        "authorized_official_credential": "BSM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.