OrganizationActive
Mental Health and Deafness Resources
NPI 1902192305 · Mental Illness Community Based Residential Treatment Facility · Bloomington, IL
Provider details
- NPI number
- 1902192305
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gail Fisher, Administrator(847) 509-8260
- License
- 398621 (IL)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
19407 US Highway 150
Bloomington, IL 61705-5858
Phone: (309) 378-1509
Street-level locationGet directions
Mailing address
614 Anthony Trl
Northbrook, IL 60062-2540
Other names (DBA / former)
- Other name
- Prairieview Center
Registry dates
- Enumerated
- 2011-06-23
- Last updated
- 2011-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.