What is Jacob Dierlam's NPI number?

Jacob Dierlam's National Provider Identifier (NPI) is 1205426533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacob Dierlam's specialty?

Jacob Dierlam is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jacob Dierlam located?

Jacob Dierlam's practice location on file with NPPES is 880 Roosevelt Rd, Glen Ellyn, IL 60137-7840.

What is Jacob Dierlam's phone number?

The practice phone number listed in the NPPES registry for Jacob Dierlam is (815) 469-1500.

Is Jacob Dierlam's NPI active?

Yes — Jacob Dierlam's NPI (1205426533) is active in the NPPES registry as of the last update on 2021-01-20.

IndividualActive

Jacob Dierlam

NPI 1205426533 · Behavior Technician · Glen Ellyn, IL

Jacob Dierlam is a Behavior Technician provider in Glen Ellyn, IL (NPI 1205426533).

Provider details

NPI number: 1205426533
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

880 Roosevelt Rd

Glen Ellyn, IL 60137-7840

Phone: (815) 469-1500

Fax: (630) 686-1535

Street-level locationGet directions

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Mailing address