Jack Mabley Developmental Center
Jack Mabley Developmental Center is a healthcare organization registered as Intellectual and/or Developmental Disabilities Residential Treatment Facility in Dixon, IL, holding Type 2 (organization) NPI 1619012234 since 2007. The authorized official on file is Sharon Deberry, Center Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619012234 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jack Mabley Developmental Center |
| Other name | <Unavail> |
| Practice address | 1120 WASHINGTON AVE, Dixon, IL, 61021 |
| Phone | 8152888331 |
| Fax | 8152887275 |
| Enumeration date | 2007-02-21 |
| Last updated in NPPES | 2022-07-21 |
Authorized official
| Name | Sharon Deberry |
|---|---|
| Title | Center Director |
| Phone | 8152888330 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Primary | — | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376525204 | Other | IL | CENTER NPI NUMBER |
Copy-ready billing details
Provider: Jack Mabley Developmental Center NPI: 1619012234 Taxonomy: 320600000X (Intellectual and/or Developmental Disabilities Residential Treatment Facility) Address: 1120 WASHINGTON AVE, Dixon, IL, 61021
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376525204 | Illinois Department of Human Services | Organization | Intellectual Disabilities Intermediate Care Facility | Dixon, IL |
| 1104961820 | Jack Mabley Dvelopmental Center | Organization | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Dixon, IL |
| 1770628398 | Jack Mabley Developmental Center | Organization | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Dixon, IL |
| 1528103140 | Jack Mabley Developmental Center | Organization | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Dixon, IL |
| 1831234475 | Jack Mabley Developmental Center | Organization | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Dixon, IL |
| 1285779892 | Jack Mabley Developmental Center | Organization | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Dixon, IL |
| 1326183948 | Jack Mabley Developmental Center | Organization | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Dixon, IL |
Verify this record
Cross-check NPI 1619012234 against the authoritative CMS record: view Jack Mabley Developmental Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jack Mabley Developmental Center?
Who is the authorized official for Jack Mabley Developmental Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.