1. Home
  2. Directory
  3. Illinois
  4. Collinsville
  5. Clinic Center
  6. NPI Profile

FUNDAMENTAL BEHAVIORAL HEALTH
NPI 1194404319
Clinic/Center - Adolescent and Children Mental Health in Collinsville, IL

Active since July 14, 2023
604 BEVERLY LN, COLLINSVILLE, IL 62234(618) 401-8225 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2023, Jul 14, 2023 (2 updates tracked since 2023).

About Fundamental Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNDAMENTAL BEHAVIORAL HEALTH (NPI 1194404319) is a healthcare organization registered as an adolescent and children mental health in Collinsville, Illinois and active in the NPI registry since July 2023. The organization lists Joellen Juenger, Fnp-bc, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1194404319
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameFUNDAMENTAL BEHAVIORAL HEALTH
Location Address604 BEVERLY LNCollinsville, IL 62234-2912
Mailing AddressPo Box 204Collinsville, IL 62234-0204 · (618) 401-8225
Phone(618) 401-8225
Organization SubpartNo
Authorized OfficialJoellen JuengerFnp-bc, Pmhnp-bc · (618) 401-8225
Enumeration DateJuly 14, 2023
Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1194404319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
604 BEVERLY LN, Collinsville, IL 62234
Open in Google Maps ↗

Other Names 1

Other NameFundamental Behavioral Health

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fundamental Behavioral Health's NPI number?

The NPI number for Fundamental Behavioral Health is 1194404319. It was assigned to this organization in the NPPES registry on July 14, 2023.

Where is Fundamental Behavioral Health located?

Fundamental Behavioral Health is located at 604 Beverly Ln, Collinsville, IL 62234. The listed phone number is (618) 401-8225.

What is Fundamental Behavioral Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Fundamental Behavioral Health was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.