Organization Active NPI

County of Kendall

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yorkville, IL
National Provider Identifier
1992267645
Registry record updated Apr 2, 2019
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
COUNTY OF KENDALL
Practice address
811 W John St
Yorkville, IL 60560-9249
Phone
(630) 553-9100
Fax
(630) 553-9506
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Dr. Amaal V E Tokars, ED.D.
Title
Executive Director
Phone
(630) 553-9100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

811 W John St
Yorkville, IL 60560-9249

Mailing address

811 W John St
Yorkville, IL 60560-9249
Phone (630) 553-9100

Other names 1

  • Kendall County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Kendall9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1992267645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W JOHN ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609249",
            "telephone_number": "630-553-9100",
            "fax_number": "630-553-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W JOHN ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609249",
            "telephone_number": "630-553-9100",
            "fax_number": "630-553-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KENDALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "TOKARS",
        "authorized_official_first_name": "AMAAL",
        "authorized_official_middle_name": "V E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-553-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendall County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.