Organization Active NPI

Newline Behavioral Solutions, LLC

  • Behavior Analyst
  • Bloomingdale, IL
National Provider Identifier
1952879447
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEWLINE BEHAVIORAL SOLUTIONS, LLC
Practice address
258 Lorraine Cir
Bloomingdale, IL 60108-2547
Phone
(630) 479-8936
NPI assigned
Nov 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Jennifer Lewis, BCBA
Title
Bcba
Phone
(765) 628-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

258 Lorraine Cir
Bloomingdale, IL 60108-2547

Mailing address

258 Lorraine Cir
Bloomingdale, IL 60108-2547
Phone (630) 479-8936

National Provider Directory

National Provider Directory

Locations

2055 W Army Trail Rd
Ste 100
Addison, IL 60101

2022 Larkin Ave
Elgin, IL 60123
Phone (224) 201-0225

Practitioners & affiliated clinicians

Practitioners 8

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": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1952879447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 LORRAINE CIR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082547",
            "telephone_number": "630-479-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 LORRAINE CIR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082547",
            "telephone_number": "630-479-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWLINE BEHAVIORAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "765-628-7400",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.