MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS


Address: 200 W Lake Dr, Building A, Springfield, IL 62703-4956
Phone: 2175299775

MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS (NPI# 1225361769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225361769
Entity Type Organization
Organization Name MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Other Organization Name MEMORIAL BEHAVIORAL HEALTH - SPRINGFIELD RESIDENTIAL CENTER (BLDG A)
Practice Address 200 W Lake Dr
Building A
Springfield
IL 62703-4956
Mailing Address 710 N 8th St
Springfield
IL 62702-6324
Practice Telephone 2175299775
Practice Fax Number 2175299803
Mailing Telephone 2175251064
Mailing Fax Number 2175251651
Enumeration Date 2009-09-16
Last Update Date 2016-03-17
Authorized Official Name ROBYN L LUKE (ADMINISTRATOR)
Authorized Official Telephone 2175251064
Is Organization Subpart Y
Parent Organization Name MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Memorial Behavioral Health - Springfield Residential Center (Bldg A) Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730554692 Mental Health Centers of Central Illinois Day Training, Developmentally Disabled Services 760 S Postville Dr, Lincoln, IL 62656-2237 2015-12-03
1558910794 Mental Health Centers of Central Illinois Clinic/Center 303 E Bidwell St, Taylorville, IL 62568-1363 2019-09-10
1013401322 Mental Health Centers of Central Illinois Clinic/Center 340 W State St, Jacksonville, IL 62650-2061 2018-06-20
1295160323 Mental Health Centers of Central Illinois Clinic/Center 515 N College St, Lincoln, IL 62656-1401 2013-09-09
1750614798 Mental Health Centers of Central Illinois Counselor 901 N 1st St, Suite 225, Springfield, IL 62702-3759 2009-09-09
1023263043 Mental Health Centers of Central Illinois Community Based Residential Treatment Facility, Mental Illness 200 W Lake Dr, Building C, Springfield, IL 62703-4956 2008-11-18
1932354958 Mental Health Centers of Central Illinois Community Based Residential Treatment Facility, Mental Illness 200 W Lake Dr, Building D, Springfield, IL 62703-4956 2008-11-18
1841445863 Mental Health Centers of Central Illinois Community Based Residential Treatment Facility, Mental Illness 200 W Lake Dr, Building E, Springfield, IL 62703-4956 2008-11-18
1659525863 Mental Health Centers of Central Illinois Community Based Residential Treatment Facility, Mental Illness 200 W Lake Dr, Buidling B, Springfield, IL 62703-4956 2008-11-14
1457505125 Mental Health Centers of Central Illinois Clinic/Center 5220 S 6th Street Rd, Suite 2400, Springfield, IL 62703-5735 2008-11-07

Office Location

Street Address 200 W LAKE DR
BUILDING A
City SPRINGFIELD
State IL
Zip Code 62703-4956

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114987690 James L. Wilkerson Counselor 200 W Lake Dr, Springfield, IL 62703-4956 2006-03-27
1023263043 Mental Health Centers of Central Illinois Community Based Residential Treatment Facility, Mental Illness 200 W Lake Dr, Building C, Springfield, IL 62703-4956 2008-11-18
1104071125 West Lake Residential - Building 220 Community Based Residential Treatment Facility, Mental Illness 200 W Lake Dr, Building 220, Springfield, IL 62703-4956 2008-11-18
1932354958 Mental Health Centers of Central Illinois Community Based Residential Treatment Facility, Mental Illness 200 W Lake Dr, Building D, Springfield, IL 62703-4956 2008-11-18
1841445863 Mental Health Centers of Central Illinois Community Based Residential Treatment Facility, Mental Illness 200 W Lake Dr, Building E, Springfield, IL 62703-4956 2008-11-18
1659525863 Mental Health Centers of Central Illinois Community Based Residential Treatment Facility, Mental Illness 200 W Lake Dr, Buidling B, Springfield, IL 62703-4956 2008-11-14
1346428786 Cynthia S. Mester Counselor 200 W Lake Dr, Springfield, IL 62703-4956 2008-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790260917 Jessica Lynne Zeeck Behavior Technician 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 2018-10-03
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
1144712100 Fresenius Medical Care Springfield East, LLC Clinic/Center 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 2018-06-05
1558889170 Ji Woung Choi Dentist 687 E Linton Ave., Springfield, IL 62703 2017-09-04
1477006161 Encompass Home Health of The Midwest,llc Home Health 2970 Baker Dr, Springfield, IL 62703 2016-07-28
1851706824 Terah Louise Holland Obstetrics & Gynecology 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 2014-06-27
1578993101 Corey Moore Behavioral Analyst 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 2013-11-18
1134463052 The Center for Youth and Family Solutions Inc. Voluntary or Charitable 614 North Sixth Street, Springfield, IL 62703 2012-11-15
1447519111 Tenshi Furumi Specialist/Technologist One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 2012-05-15
1447558390 Shalini Mulkanoor Family Medicine 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 2011-03-02
Find all providers in zip 62703

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710597406 Bridge of Changes Clinic/Center 215 Berkshire Ave, Springfield, MA 01109-1638 2020-08-06
1861024754 Chrysalis Wellness LLC Clinic/Center 3863 S Campbell Ave Ste A, Springfield, MO 65807-5339 2020-02-07
1275178451 Awaken360, Inc. Clinic/Center 829 W Atlantic St, Springfield, MO 65803-1517 2019-11-12
1235693623 Eyes On Therapy Clinic/Center 1207 N Plum St Ste A, Springfield, OH 45504-1865 2019-01-30
1912474586 Hope Source Counseling Clinic/Center 1736 E Sunshine St Ste 813, Springfield, MO 65804-1334 2018-10-31
1760964910 Wellness for The Culture LLC Clinic/Center 44 Superior Ave, Springfield, MA 01151-1836 2018-09-04
1003315177 Counter Balance Clinic/Center 56 Main St Ste 212, Springfield, VT 05156-2945 2018-02-05
1558805754 Bhg Xliii, LLC Clinic/Center 2551 W Kearney St, Springfield, MO 65803 2016-12-07
1538575295 Sunrise Behavioral Health Clinic, LLC Clinic/Center 95 Frank B. Murray Street, Springfield, MA 01103 2014-07-02
1326296856 Gateway Foundation, Inc. Clinic/Center 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2008-09-09
Find all providers in SPRINGFIELD

Competitor

Search similar providers

City SPRINGFIELD
Zip Code 62703

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Dataset Information

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.

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