NPIMap

Organization Active NPI

Elmhurst Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Elmhurst, IL
National Provider Identifier
1992928360
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5488 Issued in IL
Legal business name
ELMHURST BEHAVIORAL HEALTH
Practice address
183 N York St
Elmhurst, IL 60126-2717
Phone
(630) 941-4577
Fax
(630) 758-5024
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Teddi Krochman, MSW
Title
Manager of Business Development Anc
Phone
(603) 941-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 5488 IL Primary

Addresses

Primary practice location

183 N York St
Elmhurst, IL 60126-2717

Mailing address

183 N York St
Elmhurst, IL 60126-2717
Phone (630) 941-4577

Other names 1

  • Elmhurst Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
E Pritchett Crna15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992928360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262717",
            "telephone_number": "630-941-4577",
            "fax_number": "630-758-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262717",
            "telephone_number": "630-941-4577",
            "fax_number": "630-758-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROCHMAN",
        "authorized_official_first_name": "TEDDI",
        "authorized_official_title_or_position": "MANAGER OF BUSINESS DEVELOPMENT ANC",
        "authorized_official_telephone_number": "603-941-4577",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "5488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmhurst Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.