NPIMap

Organization Active NPI

Brightside Recovery

  • Community/Behavioral Health Agency
  • Northbrook, IL
National Provider Identifier
1982217014
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHTSIDE RECOVERY
Practice address
333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624
Phone
(224) 205-7866
Fax
(224) 205-7865
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Jennifer Kilpatrick
Title
Office Manager
Phone
(224) 220-1378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624

Mailing address

333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624
Phone (708) 360-7022

National Provider Directory

National Provider Directory
Tax ID family
Brightside Recovery7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1982217014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD STE 112",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621624",
            "telephone_number": "708-360-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD STE 112",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621624",
            "telephone_number": "224-205-7866",
            "fax_number": "224-205-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "224-220-1378"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.