NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC. (NPI# 1407976285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407976285 |
Entity Type | Organization |
Organization Name | NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC. |
Practice Address |
229 Martin Ave Canton IL 61520-2520 |
Practice Telephone | 8152230160 |
Practice Fax Number | 8152231634 |
Mailing Telephone | 8152230160 |
Mailing Fax Number | 8152231634 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. LARRY BLOCK (VP-FINANCE) |
Authorized Official Telephone | 8152230160 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124531322 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 530 Park Ave E Ste 206b, Princeton, IL 61356-3902 | 2017-11-09 |
1780108985 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 111 Spring St Ste 320-328, Streator, IL 61364-3332 | 2017-07-29 |
1134249550 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 727 Etna Rd., Ottawa, IL 61350 | 2007-03-30 |
1528188380 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 17 Northpoint Dr, Streator, IL 61364-1159 | 2007-03-29 |
1851804058 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 530 Park Ave E Ste 206b, Princeton, IL 61356-3902 | 2017-11-09 |
1205345766 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 111 Spring St Ste 28, Streator, IL 61364-3332 | 2017-09-27 |
1891034906 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 120 E Court St, Toulon, IL 61483-5388 | 2013-02-08 |
1073633418 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2007-03-30 |
1982724324 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 526 S Bureau Valley Pkwy, Perry Plaza, Princeton, IL 61356-2046 | 2007-03-30 |
1790805133 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 526 S Bureau Valley Pkwy, Perry Plaza, Princeton, IL 61356-2046 | 2007-03-30 |
Street Address |
229 MARTIN AVE |
City | CANTON |
State | IL |
Zip Code | 61520-2520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417312 | Kara Dean Simpson | Social Worker | 229 Martin Ave, Canton, IL 61520-2520 | 2020-11-03 |
1407393275 | Laticia M Georgie | Social Worker | 229 Martin Ave, Canton, IL 61520-2520 | 2017-01-31 |
1063828176 | Miriam S Mindeman | Counselor | 229 Martin Ave, Canton, IL 61520-2520 | 2014-07-09 |
1578685954 | Jacey L Downing | Counselor | 229 Martin Ave, Canton, IL 61520-2520 | 2007-04-04 |
1588784912 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
Find all providers in zip 61520 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003307810 | Lenzy Family Institute | Clinic/Center | 1930 Fulton Rd Nw Ste 103, Canton, OH 44709-3526 | 2018-05-29 |
1053437384 | Josephine E. Glover, Dba | Clinic/Center | 2719 Cleveland Ave Nw, Canton, OH 44709-3309 | 2007-03-21 |
1831601913 | Peter Perrotta Ms., Lpc., Ladc., LLC | Clinic/Center | 50 Albany Tpke Ste 3010, Canton, CT 06019-2555 | 2017-10-30 |
1235477969 | Seeking Out Solutions | Clinic/Center | 259 Albany Tpke, Canton, CT 06019-2557 | 2013-01-31 |
1710238613 | Phoenix Rising Behavioral Healthcare and Recovery, Inc | Clinic/Center | 624 Market Ave N, Canton, OH 44702-1017 | 2012-10-02 |
1194045898 | Lutheran Social Services of Il | Clinic/Center | 700 E Oak St, Suite 203, Canton, IL 61520-3157 | 2010-06-03 |
1891906921 | Priority Care, Inc. | Clinic/Center | 1044 Lilly Ave Ne, Canton, OH 44730-1440 | 2007-05-24 |
1588784912 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-30 |
1962536854 | Human Development and Counseling Assoc Inc | Clinic/Center | 4792 Munson St Nw, Munson Professional Centre, Canton, OH 44718-3630 | 2007-03-15 |
1700915071 | Downriver Mental Health Clinic PC | Clinic/Center | 5958 N Canton Center Rd, Suite 900, Canton, MI 48187-2765 | 2007-03-05 |
Find all providers in CANTON |
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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.