OrganizationActive
Northeastern Center
NPI 1679636294 · Community/Behavioral Health Agency · Kendallville, IN
Northeastern Center is a Community/Behavioral Health Agency organization in Kendallville, IN (NPI 1679636294).
Provider details
- NPI number
- 1679636294
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jerry Hollister, Ceo(260) 347-2453
- License
- 426-0-CMHC (IN)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
220 S Main St
Kendallville, IN 46755-1718
Phone: (260) 347-2453
Fax: (260) 347-2456
Street-level locationGet directions
Mailing address
Po Box 817
Kendallville, IN 46755-0817
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2008-06-16
Frequently asked questions
- What is Northeastern Center's NPI number?
- Northeastern Center's National Provider Identifier (NPI) is 1679636294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeastern Center?
- Northeastern Center is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Northeastern Center located?
- Northeastern Center's practice location on file with NPPES is 220 S Main St, Kendallville, IN 46755-1718.
- What is Northeastern Center's phone number?
- The practice phone number listed in the NPPES registry for Northeastern Center is (260) 347-2453.
- Who is the authorized official for Northeastern Center?
- The authorized official listed on Northeastern Center's NPPES record is Jerry Hollister, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeastern Center's NPI active?
- Yes — Northeastern Center's NPI (1679636294) is active in the NPPES registry as of the last update on 2008-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.