NPIMap

Organization Active NPI

Northeast Family Services of Illinois, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Springfield, IL
National Provider Identifier
1841955168
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
NORTHEAST FAMILY SERVICES OF ILLINOIS, INC.
Practice address
319 E Madison St
Springfield, IL 62701-1035
Phone
(978) 530-6605
NPI assigned
Nov 2, 2021
Last updated
Jan 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Nidhi Turner
Title
Exec VP
Phone
(978) 530-6605

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

319 E Madison St
Springfield, IL 62701-1035

Mailing address

354 Merrimack St Ste 395
Lawrence, MA 01843-1754
Phone (978) 807-3377

Other practice location 1

354 Merrimack St Ste 395
Lawrence, MA 01843-1754
Phone (978) 807-3377

National Provider Directory

National Provider Directory
Tax ID family
Northeast Family Services of Il - Chicago4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

319 E Madison St
Ste 2M
Springfield, IL 62701
Phone (217) 525-3733

Practitioners & affiliated clinicians

Practitioners 4

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": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1841955168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST STE 395",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "978-807-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E MADISON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011035",
            "telephone_number": "978-530-6605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Merrimack St Ste 395",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018431754",
            "country_code": "US",
            "telephone_number": "978-807-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST FAMILY SERVICES OF ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "EXEC VP",
        "authorized_official_telephone_number": "978-530-6605"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.