The Otherside – Community/Behavioral Health Agency, NPI 1740543305

The Otherside is a healthcare provider. based in Urbana, Illinois. specializing in Community/Behavioral Health Agency. The NPI Number for The Otherside is 1740543305

Main info

Organization
Name
The Otherside
NPI
1740543305
Phone
(217) 607-0098
Address
1717 PHILO RD
Authorized Official
MR. LEONARD EUGENE DEFORGE OWNER/MANAGER
Enumeration Date
19 June 2012
Last Update Date
20 June 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for The Otherside

  • 1717 PHILO RD

    SUITE 23

    URBANA, IL 618026044

    Phone: (217) 607-0098

    Fax: (217) 298-0142

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61802)

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Reviews

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Frequently asked questions

What federal number belongs to The Otherside?
The federal identifier for The Otherside is NPI 1740543305.
Is The Otherside currently active in the NPI registry?
CMS-published data lists The Otherside as an active registrant.
What kind of provider is The Otherside?
The page reflects Community/Behavioral Health Agency for The Otherside. Clinical services aligned with this taxonomy classification.
Where does public data place The Otherside?
The snapshot lists Urbana, Illinois for The Otherside; download NPPES for the complete set.
How can I contact The Otherside?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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