NPIMap

Organization Active NPI

Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elgin, IL
National Provider Identifier
1871745984
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Practice address
1135 Bowes Rd
Elgin, IL 60123-5541
Phone
(847) 888-5540
Fax
(847) 888-6079
NPI assigned
Oct 21, 2008
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Mrs. Frances L. Baker
Title
President
Phone
(630) 966-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1135 Bowes Rd
Elgin, IL 60123-5541

Mailing address

309 W. New Indian Trail Court
Aurora, IL 60506-2494
Phone (630) 966-4000

Other identifiers 1

IdentifierTypeStateIssuer
04008MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Aid40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1871745984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W. NEW INDIAN TRAIL COURT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062494",
            "telephone_number": "630-966-4000",
            "fax_number": "630-844-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BOWES RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235541",
            "telephone_number": "847-888-5540",
            "fax_number": "847-888-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION FOR INDIVIDUAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-966-4001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.