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THE JOSSELYN CENTER NFP NPI 1073548640


NPI Information

NPI: 1073548640
Provider Name: THE JOSSELYN CENTER NFP
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
405 CENTRAL AVE
NORTHFIELD, IL
ZIP 60093
Phone: (847) 441-5600
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THE JOSSELYN CENTER NFP is a mental health (including community mental health center) clinic center in Northfield, IL. THE JOSSELYN CENTER NFP NPI is 1073548640. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

405 CENTRAL AVE
NORTHFIELD, IL
ZIP 60093-006
Phone: (847) 441-5600
Fax: (847) 441-7968

The provider's authorized official is Susan D Resko .
The authorized official title is President and has the following contact phone number (847) 441-5600.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/21/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
4261QM0801XClinic/CenterMental 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036054322MEDICAIDILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.