Northeastern Center
Northeastern Center is a healthcare organization registered as Community/Behavioral Health Agency in Kendallville, IN, holding Type 2 (organization) NPI 1679636294 since 2006. The authorized official on file is Jerry Hollister, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679636294 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northeastern Center |
| Practice address | 220 S MAIN ST, Kendallville, IN, 46755 |
| Phone | 2603472453 |
| Fax | 2603472456 |
| Enumeration date | 2006-12-18 |
| Last updated in NPPES | 2008-06-16 |
Authorized official
| Name | Jerry Hollister |
|---|---|
| Title | Ceo |
| Phone | 2603472453 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | 426-0-CMHC | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100190820M | Medicaid | IN | — |
Copy-ready billing details
Provider: Northeastern Center NPI: 1679636294 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 220 S MAIN ST, Kendallville, IN, 46755
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023125705 | Northeastern Center, Inc | Organization | Case Management Agency | Kendallville, IN |
| 1306954748 | Joseph Csincsak | Individual | Clinical Social Worker | Kendallville, IN |
| 1174685358 | Northeastern Center | Organization | Community/Behavioral Health Agency | Kendallville, IN |
| 1720140908 | Northeastern Center Inc | Organization | Community/Behavioral Health Agency | Kendallville, IN |
| 1770646226 | Northeastern Center | Organization | Community/Behavioral Health Agency | Kendallville, IN |
| 1740326669 | Northeastern Center | Organization | Non-emergency Medical Transport (VAN) | Kendallville, IN |
| 1962673111 | Dianne Daugherty | Individual | Clinical Social Worker | Kendallville, IN |
| 1851609804 | Richard Yost | Individual | Addiction (Substance Use Disorder) Counselor | Kendallville, IN |
Verify this record
Cross-check NPI 1679636294 against the authoritative CMS record: view Northeastern 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 Northeastern Center?
Who is the authorized official for Northeastern Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-16.