COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC. (NPI# 1013186949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013186949 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC. |
| Practice Address |
1414 Russell Avenue East St. Louis IL 62205-2025 |
| Mailing Address |
505 S 8th St East Saint Louis IL 62201-2919 |
| Practice Telephone | 6184827330 |
| Practice Fax Number | 6184824351 |
| Mailing Telephone | 6184827330 |
| Mailing Fax Number | 6184824351 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | MR. JOSEPH J HARPER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6184827330 |
| Authorized Official Credential | LCSW, MBA, CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780853408 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1048 State St, East Saint Louis, IL 62201-1908 | 2008-02-27 |
| 1679742506 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1501 S G St, East Saint Louis, IL 62207-2057 | 2008-02-25 |
| 1912176900 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 117 Kingsway Dr, Belleville, IL 62226-5010 | 2008-02-25 |
| 1780853614 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 1500 Wilford Ave, East Saint Louis, IL 62207-2066 | 2008-02-25 |
| 1427227891 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1801065289 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1437328812 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1730358110 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1144499708 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community Based Residential Treatment Facility, Mental Illness | 505 S 8th St, East Saint Louis, IL 62201-2919 | 2008-02-27 |
| 1437328283 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 505 S 8th St, East Saint Louis, IL 62201 | 2008-02-26 |
| Street Address |
1414 RUSSELL AVENUE |
| City | EAST ST. LOUIS |
| State | IL |
| Zip Code | 62205-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790156610 | Lessie Bates Davis Neighborhood House | Registered Nurse | 1200 North 13th Street, East Saint Louis, IL 62205 | 2015-10-19 |
| 1114047859 | Herschel Lee Garrett Jr. | Dentist | 4020 Caseyville Ave, East St Louis, IL 62205 | 2007-03-29 |
| 1376871103 | Toni M. Jackson | Massage Therapist | 4806 State St, Home Office, East Saint Louis, IL 62205-1355 | 2009-12-07 |
| 1811347362 | Destinee Hope Grove | Specialist/Technologist | 4901 State St, East Saint Louis, IL 62205-1356 | 2016-06-15 |
| 1053963470 | Stephanie Michelle Tate-patterson | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2019-07-16 |
| 1710406962 | Christa R Dyson-spiller | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2017-09-19 |
| 1558344986 | Gerard X Blaise | Dentist | 4601 State St, Ste 300, East Saint Louis, IL 62205-1359 | 2005-11-21 |
| 1013269737 | Illinois Express Home Care | In Home Supportive Care | 4601 State St, East Saint Louis, IL 62205-1359 | 2012-10-04 |
| 1427227891 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1801065289 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| Find all providers in zip 62205 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417127580 | Call for Help, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9400 Lebanon Road, East St. Louis, IL 62203-2214 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
| Find all providers with the same taxonomy | ||||
| City | EAST ST. LOUIS |
| Zip Code | 62205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.