HAZEL MACKEY CENTER


Address: 1128 S 5th St, Springfield, IL 62703-2314
Phone: 2175440388

HAZEL MACKEY CENTER (NPI# 1306992938) 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) 1306992938
Entity Type Organization
Organization Name HAZEL MACKEY CENTER
Practice Address 1128 S 5th St
Springfield
IL 62703-2314
Practice Telephone 2175440388
Practice Fax Number 2175440391
Mailing Telephone 2175440388
Mailing Fax Number 2175440391
Enumeration Date 2007-01-26
Last Update Date 2020-08-22
Authorized Official Name MR. BARNEY M BRUZETTI (CHIEF FISCAL OFFICER)
Authorized Official Telephone 2175440388
Authorized Official Credential CPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YP2500X Counselor
Specialization: Professional
180-00384 IL Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
IL Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
IL Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
IL Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist IL Behavioral Health & Social Service Providers

Office Location

Street Address 1128 S 5TH ST
City SPRINGFIELD
State IL
Zip Code 62703-2314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659330538 Lori A. Schwartz Social Worker 1128 S 5th St, Springfield, IL 62703-2314 2006-03-21

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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1366055352 Joshua Dauner Counselor 819 N Boonville Ave, Springfield, MO 65802-3831 2020-08-28
1972114411 Doris Osiimwe Johnson Counselor 52 Elaine Cir # 52, Springfield, MA 01109-1205 2020-08-10
1003426610 Jy Counseling LLC Counselor 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 2020-08-07
1912526674 Amy Christine Russell Counselor 317 30th St Apt 304d, Springfield, OR 97478-7619 2020-04-13
1588299184 Julie Patricia Slover Counselor 3331 S Parkview Ave, Springfield, MO 65804-4755 2020-03-04
1356986319 Three Dirty Birds LLC Counselor 805 Lorraine Dr, Springfield, PA 19064-1004 2019-11-14
1992348916 Tiffany Looney Counselor 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 2019-10-22
1588206346 Carrie Stormzand Counselor 4546 S Quail Creek Ave, Springfield, MO 65810-1678 2019-10-14
1366084295 Betty Jean Counselor 673 Morris Ave, Springfield, NJ 07081-1512 2019-10-11
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Competitor

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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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