Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fundamental Behavioral Health

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1194404319

Fundamental Behavioral Health is an Adolescent and Children Mental Health Clinic/Center in Collinsville, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

604 Beverly Ln
Collinsville, IL 62234-2912
Phone: (618) 401-8225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X

Record details

NPI number1194404319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joellen Juenger — Fnp-Bc, Pmhnp-Bc · (618) 401-8225
Other names Fundamental Behavioral Health; Fundamental Behavioral Health
NPI enumeratedJuly 14, 2023
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing addressPo Box 204, Collinsville, IL 62234-0204