THE OTHERSIDE
NPI 1740543305
Community/Behavioral Health in Urbana, IL

Q: What is The Otherside A Behavioral Healthcare Corp's specialty?

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

Active since June 19, 2012

1717 PHILO RD, SUITE 23, URBANA, IL 61802(217) 607-0098(217) 298-0142 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Otherside NPPES

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

THE OTHERSIDE (NPI 1740543305) is a healthcare organization registered as a community/behavioral health in Urbana, Illinois and active in the NPI registry since June 2012. The organization lists Leonard Eugene Deforge, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1740543305

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameTHE OTHERSIDE A BEHAVIORAL HEALTHCARE CORP

Location Address1717 PHILO RD, SUITE 23Urbana, IL 61802-6044

Mailing Address1717 Philo Rd, Suite 23Urbana, IL 61802-6044 · (217) 607-0098 · Fax (217) 298-0142

Phone(217) 607-0098

Fax(217) 298-0142

Organization SubpartNo

Authorized OfficialLeonard Eugene DeforgeOwner/manager · (217) 607-0098

Enumeration DateJune 19, 2012

Last NPPES UpdateJune 20, 2012

✔ NPI 1740543305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

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.

1717 PHILO RD, Urbana, IL 61802

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Other Names 1

Doing Business AsThe Otherside

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 The Otherside A Behavioral Healthcare Corp's NPI number?

The NPI number for The Otherside A Behavioral Healthcare Corp is 1740543305. It was assigned to this organization in the NPPES registry on June 19, 2012. The provider is doing business as The Otherside.

Where is The Otherside A Behavioral Healthcare Corp located?

The Otherside A Behavioral Healthcare Corp is located at 1717 Philo Rd Suite 23, Urbana, IL 61802. The listed phone number is (217) 607-0098.

What is The Otherside A Behavioral Healthcare Corp'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 The Otherside A Behavioral Healthcare Corp was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.