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NORTHEASTERN CENTER
NPI 1679636294
Community/Behavioral Health in Kendallville, IN

Active since December 18, 2006
220 S MAIN ST, KENDALLVILLE, IN 46755(260) 347-2453(260) 347-2456 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeastern Center NPPES

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

NORTHEASTERN CENTER (NPI 1679636294) is a healthcare organization registered as a community/behavioral health in Kendallville, Indiana and active in the NPI registry since December 2006. The organization lists Jerry Hollister, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679636294
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTHEASTERN CENTER
Location Address220 S MAIN STKendallville, IN 46755-1718
Mailing AddressPo Box 817Kendallville, IN 46755-0817 · (260) 347-2453 · Fax (260) 347-2456
Phone(260) 347-2453
Fax(260) 347-2456
Organization SubpartNo
Authorized OfficialJerry HollisterCeo · (260) 347-2453
Enumeration DateDecember 18, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1679636294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in IN · 426-0-CMHC
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
220 S MAIN ST, Kendallville, IN 46755
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Other Identifiers 1

Medicaid100190820MIN

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.

NORTHEASTERN CENTER, INC
Case Management
220 S MAIN ST
KENDALLVILLE, IN 46755
Noble County (260) 347-2453
MOLLY MILES
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Noble County (260) 347-2453
ANTONIO JAMES WHITE
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Noble County (260) 343-8714
NORTHEASTERN CENTER
Community/Behavioral Health
220 S MAIN ST
KENDALLVILLE, IN 46755
Noble County (260) 347-2453
RICHARD ALLEN MCKINNEY
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Noble County (260) 343-8714
MR. JOSEPH F CSINCSAK L.C.S.W.
Social Worker (Clinical)
220 S MAIN ST
KENDALLVILLE, IN 46755
Noble County (260) 347-2453
NANCY LUNA BA
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Noble County (260) 347-2453
CASSANDRA LAYNE MASON
Case Manager/Care Coordinator
220 S MAIN ST
KENDALLVILLE, IN 46755
Noble County (260) 343-8531

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 Northeastern Center's NPI number?

The NPI number for Northeastern Center is 1679636294. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Northeastern Center located?

Northeastern Center is located at 220 S Main St, Kendallville, IN 46755. The listed phone number is (260) 347-2453.

What is Northeastern Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Northeastern Center was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.