STICKNEY PUBLIC HEALTH DISTRICT BEHAVIORAL HEALTH DIVISION NPI 1467918417

NPI Information

NPI: 1467918417
Provider Name: STICKNEY PUBLIC HEALTH DISTRICT, BEHAVIORAL HEALTH DIVISION
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 14D0666121

Address:
6721 W. 40TH STREET
STICKNEY, IL
ZIP 60402
Phone: (708) 237-8918
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STICKNEY PUBLIC HEALTH DISTRICT, BEHAVIORAL HEALTH DIVISION is an adult mental health clinic center in Stickney, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. STICKNEY PUBLIC HEALTH DISTRICT, BEHAVIORAL HEALTH DIVISION NPI is 1467918417. The provider is registered as an organization entity type.

The provider's business location address is:

6721 W. 40TH STREET
STICKNEY, IL
ZIP 60402-174
Phone: (708) 237-8918
Fax: (708) 237-8997

The provider's authorized official is Christopher Grunow .
The authorized official title is Health Director and has the following contact phone number (708) 424-9200.

The CLIA number assigned to this NPI record is 14D0666121 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 2/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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