Active NPI
Ascension Health
- Behavior Technician
- Melrose Park, IL
National Provider Identifier
1851077325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Legal business name
- ASCENSION HEALTH
- Practice address
- 1414 Main St
Melrose Park, IL 60160-3902 - Phone
- (708) 681-0073
- NPI assigned
- Jun 27, 2023
- Last updated
- Jun 27, 2023
- 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
- Normita Nicole Donaldson
- Title
- Behavioral Health Tech
- Phone
- (773) 842-4042
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1414 Main St
Melrose Park, IL 60160-3902
Mailing address
1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 681-0073
Other names 1
- Amita Health
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, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Melrose Park, IL
- NPI 1619657632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1851077325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 MAIN ST",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601603902",
"telephone_number": "708-681-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 MAIN ST",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601603902",
"telephone_number": "708-681-0073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENSION HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A",
"authorized_official_last_name": "DONALDSON",
"authorized_official_first_name": "NORMITA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "BEHAVIORAL HEALTH TECH",
"authorized_official_telephone_number": "773-842-4042"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amita Health",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.