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YELLOWBRICK NPI 1770752297


NPI Information

NPI: 1770752297
Provider Name: YELLOWBRICK
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 14D2116617

Address:
1560 SHERMAN AVE.
SUITE 400
EVANSTON, IL
ZIP 60201
Phone: (847) 869-1500
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YELLOWBRICK is a community behavioral health in Evanston, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. YELLOWBRICK NPI is 1770752297. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1560 SHERMAN AVE.
SUITE 400
EVANSTON, IL
ZIP 60201-803
Phone: (847) 869-1500
Fax: (847) 869-1515

The provider's authorized official is Jesse L Viner .
The authorized official title is Exec. Medical Director and has the following contact phone number (847) 869-1500.

The CLIA number assigned to this NPI record is 14D2116617 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 8/1/2017.


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
11041C0700XSocial WorkerClinical149.009652ILLINOISNo
21041C0700XSocial WorkerClinicalNo
3251S00000XCommunity/Behavioral Health042.619076ILLINOISYes

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

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