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STONYBROOK CENTER
NPI 1629374566
Clinic/Center in Wheaton, IL

Active since February 09, 2011CLIA 14D2076728 · Waiver
1506 E ROOSEVELT RD, WHEATON, IL 60187(630) 221-1400(630) 221-1411 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2017, Aug 30, 2016 (2 updates tracked since 2016).

About Stonybrook Center NPPES

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

STONYBROOK CENTER (NPI 1629374566) is a healthcare organization registered as a clinic/center in Wheaton, Illinois and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Charles Francis Walter, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1629374566
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTONYBROOK CENTER
Location Address1506 E ROOSEVELT RDWheaton, IL 60187-6806
Mailing Address1506 E Roosevelt RdWheaton, IL 60187-6806 · (630) 221-1400 · Fax (630) 221-1411
Phone(630) 221-1400
Fax(630) 221-1411
Organization SubpartNo
Authorized OfficialCharles Francis WalterOperations Director · (630) 221-1400
Enumeration DateFebruary 9, 2011
Last NPPES UpdateOctober 27, 20172 updates tracked since enumeration
✔ NPI 1629374566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · A-8645-0001-A
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License A-8645-0002-A (IL)
1506 E ROOSEVELT RD, Wheaton, IL 60187
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2076728

Stonybrook Center · Wheaton, IL
Active · expires Apr 23, 2028
CLIA Number14D2076728
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorMarissa Kirch
Laboratory Phone(630) 221-1400
Laboratory LocationStonybrook Center1506 E Roosevelt Rd, Wheaton, IL 60187
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIOMARA SOTELO RN
Registered Nurse
1506 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 221-1400
JULIA CROWELL MA, LPC, NCC
Counselor (Professional)
1506 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 221-1400
ROSEANN ROOK
Counselor (Addiction (Substance Use Disorder))
1506 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (708) 214-1153
DEJAH MONAE HAYWOOD MSW, LCSW
Social Worker (Clinical)
1506 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 221-1400
LINDSAY NOEL BAUMGARTNER LPC
Counselor (Professional)
1506 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 221-1400
MELISSA M OCON
Counselor (Addiction (Substance Use Disorder))
1506 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 221-1400
MELODY LINNEAR LCSW
Social Worker (Clinical)
1506 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 221-1400
VALDENA THOMAS RN
Registered Nurse
1506 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 221-1400

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 Stonybrook Center's NPI number?

The NPI number for Stonybrook Center is 1629374566. It was assigned to this organization in the NPPES registry on February 9, 2011.

Where is Stonybrook Center located?

Stonybrook Center is located at 1506 E Roosevelt Rd, Wheaton, IL 60187. The listed phone number is (630) 221-1400.

What is Stonybrook Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Stonybrook Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2076728) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stonybrook Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Stonybrook Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stonybrook Center was last updated on October 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.