NPIMap

Organization Active NPI

Stickney Public Health District

Doing business as Behavioral Health Clinic

  • Adult Mental Health Clinic/Center
  • Burbank, IL
National Provider Identifier
1922564970
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
STICKNEY PUBLIC HEALTH DISTRICT
Doing business as
Behavioral Health Clinic
Practice address
5635 State Road
Burbank, IL 60459-2051
Phone
(708) 237-8918
Fax
(708) 237-8997
NPI assigned
Feb 14, 2019
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Mr. Christopher Grunow, PSY.D
Title
Health Director
Phone
(708) 424-9200

Specialties & licenses 2

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

Addresses

Primary practice location

5635 State Road
Burbank, IL 60459-2051

Mailing address

5635 State Rd
Burbank, IL 60459-2051
Phone (708) 237-8918

Other names 1

  • BEHAVIORAL HEALTH CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1922564970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 STATE RD",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592051",
            "telephone_number": "708-237-8918",
            "fax_number": "708-237-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 STATE ROAD",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592051",
            "telephone_number": "708-237-8918",
            "fax_number": "708-237-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STICKNEY PUBLIC HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "GRUNOW",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "708-424-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEHAVIORAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.