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ROSECRANCE BERRY CAMPUS
NPI 1669752275
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rockford, IL

Active since August 26, 2011
8616 NORTHERN AVE, ROCKFORD, IL 61107(815) 391-1000 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2017, Dec 4, 2015 (2 updates tracked since 2015).

About Rosecrance Berry Campus NPPES

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

ROSECRANCE BERRY CAMPUS (NPI 1669752275) is a healthcare organization registered as a mental health (including community mental health center) in Rockford, Illinois and active in the NPI registry since August 2011. The organization lists Phillip Eaton, Ceo / President, as its authorized official.

NPPES Registry Identity

NPI1669752275
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameROSECRANCE, INC.
Location Address8616 NORTHERN AVERockford, IL 61107-5309
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 391-1000 · Fax (815) 316-4726
Phone(815) 391-1000
Organization SubpartNo
Authorized OfficialPhillip EatonCeo / President · (815) 391-1000
Enumeration DateAugust 26, 2011
Last NPPES UpdateJune 27, 20172 updates tracked since enumeration
✔ NPI 1669752275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · 04081
8616 NORTHERN AVE, Rockford, IL 61107
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Other Names 1

Doing Business AsRosecrance Berry Campus

Other Identifiers 2

MedicaidA-0601-0037-AIL
Medicaid04081IL

Other Providers at the Same Location NPPES 20

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

HOLLY BRUN
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
MR. JACOB R WILSON BA
Counselor (Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
SEAN WALSH LPC
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
DEBRA CORRIGAN APN
Nurse Practitioner (Psychiatric/Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 399-9700
JACQUELINE BELTER
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
ALICIA ANDERSON L.S.W.
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 338-8003
CHRISTINA ADAMS
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
MELISSA LEE
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003

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 Rosecrance, Inc.'s NPI number?

The NPI number for Rosecrance, Inc. is 1669752275. It was assigned to this organization in the NPPES registry on August 26, 2011. The provider is doing business as Rosecrance Berry Campus.

Where is Rosecrance, Inc. located?

Rosecrance, Inc. is located at 8616 Northern Ave, Rockford, IL 61107. The listed phone number is (815) 391-1000.

What is Rosecrance, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Rosecrance, Inc. was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.