Organization Active NPI

Kayla Block, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bolingbrook, IL
National Provider Identifier
1881395150
Registry record updated Mar 14, 2023
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
KAYLA BLOCK, PLLC
Practice address
550 E Boughton Rd Ste 205
Bolingbrook, IL 60440-2396
Phone
(312) 924-1884
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Kayla BlockNPI 1871246934
Title
President
Phone
(847) 971-9474

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

Addresses

Primary practice location

550 E Boughton Rd Ste 205
Bolingbrook, IL 60440-2396

Mailing address

2503 Boxwood LN
Plainfield, IL 60586-2556
Phone (847) 971-9474

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1881395150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 BOXWOOD LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862556",
            "telephone_number": "847-971-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD STE 205",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402396",
            "telephone_number": "312-924-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLA BLOCK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-971-9474"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.