ECKER CENTER FOR BEHAVIORAL HEALTH NPI 1730576596

NPI Information

NPI: 1730576596
Provider Name: ECKER CENTER FOR BEHAVIORAL HEALTH

Former Legal Business Name: ECKER CENTER FOR MENTAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
409 ILLINOIS AVE UNIT 1A
ST CHARLES, IL
ZIP 60174
Phone: (630) 377-5200
Get Directions

ECKER CENTER FOR BEHAVIORAL HEALTH is a mental health (including community mental health center) clinic center in St Charles, IL. ECKER CENTER FOR BEHAVIORAL HEALTH NPI is 1730576596. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ecker Center For Mental Health.

The provider's business location address is:

409 ILLINOIS AVE UNIT 1A
ST CHARLES, IL
ZIP 60174-966
Phone: (630) 377-5200
Fax: (630) 513-6892

The provider's authorized official is Pauline Rochfort .
The authorized official title is Billing Director and has the following contact phone number (847) 695-0484.

The CLIA number assigned to this NPI record is 14D2188979 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 7/20/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04050	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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