CLEARBROOK MCHENRY CMHC
NPI 1184260770
Clinic/Center - Mental Health (Including Community Mental Health Center) in Crystal Lake, IL

NPI Status: Active since November 19, 2019

Contact Information

6500 NORTHWEST HWY UNIT 16E
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 893-6509

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About CLEARBROOK MCHENRY CMHC

This page provides the complete NPI Profile along with additional information for Clearbrook Mchenry Cmhc, a provider established in Crystal Lake, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1184260770 assigned on November 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Hollis Gorrie (Director Home Based Services)

NPI
1184260770
Provider Name
CLEARBROOK MCHENRY CMHC
Entity Type
Organization
Location Address
6500 NORTHWEST HWY UNIT 16E CRYSTAL LAKE, IL 60014
Location Phone
(815) 893-6509
Mailing Address
1835 W CENTRAL RD ARLINGTON HEIGHTS, IL 60005
Mailing Phone
(847) 385-5041
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-19-2019
Last Update Date
11-22-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HOLLIS GORRIE

Authorized Official Title
DIRECTOR HOME BASED SERVICES
Authorized Official Phone
(847) 385-5041

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184260770
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164460714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 4 + 6 + 0 + 7 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1184260770 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184260770, enumerated in the NPI registry as an "organization" on November 19, 2019

The provider is located at 6500 Northwest Hwy Unit 16e Crystal Lake, Il 60014 and the phone number is (815) 893-6509

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on November 19, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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