ALLENDALE ASSOCIATION – NPI #1154671030
Clinic/Center

ALLENDALE ASSOCIATION is an AHC clinic located in GURNEE, IL. NPPES has assigned the NPI number 1154671030 to ALLENDALE ASSOCIATION on September 18, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ALLENDALE ASSOCIATION is also known by the name BRADLEY COUNSELING CENTER - GURNEE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLENDALE ASSOCIATION below.

NPI Profile for
ALLENDALE ASSOCIATION

NPI Number
1154671030
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALLENDALE ASSOCIATION
Other Name: BRADLEY COUNSELING CENTER - GURNEE
Primary location
5465 GRAND AVE
101
GURNEE, IL 60031-4913
Phone: (847) 244-7177 Fax: (847) 244-9486
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER SCHRANTZ
CHIEF FINANCIAL OFFICER
Phone: (847) 245-6214
Updated
Certification Date
May 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
251S00000X
- Community/Behavioral Health
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.