IROQUOIS MENTAL HEALTH CENTER (NPI# 1700167921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700167921 |
| Entity Type | Organization |
| Organization Name | IROQUOIS MENTAL HEALTH CENTER |
| Practice Address |
102 Commerce Dr Clifton IL 60927-9501 |
| Mailing Address |
323 W Mulberry St P.o. Box 322 Watseka IL 60970-1568 |
| Practice Telephone | 8154325241 |
| Practice Fax Number | 8154324537 |
| Mailing Telephone | 8154325241 |
| Mailing Fax Number | 8154324537 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | DR. DENNIS P. HOPKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8154325241 |
| Authorized Official Credential | PSYD., MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 04080 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649774225 | Iroquois Mental Health Center | Community/Behavioral Health | 1137 E 5000n Rd Ste K, Bourbonnais, IL 60914-4229 | 2018-03-20 |
| 1780188367 | Iroquois Mental Health Center | Community/Behavioral Health | 70 Meadowview Ctr Ste 100, Kankakee, IL 60901-2047 | 2018-03-20 |
| 1023568102 | Iroquois Mental Health Center | Clinic/Center | 107 N. 4th Street, Sheldon, IL 60966 | 2016-10-12 |
| 1609326792 | Iroquois Mental Health Center | Clinic/Center | 141 W Garfield Ave, Cissna Park, IL 60924-6128 | 2016-10-12 |
| 1467820845 | Iroquois Mental Health Center | Community/Behavioral Health | 619 N Chicago St, Rossville, IL 60963-1012 | 2015-09-02 |
| 1932470606 | Iroquois Mental Health Center | Community/Behavioral Health | 200 S. Locust St., Loda, IL 60948 | 2012-01-26 |
| 1902186414 | Iroquois Mental Health Center | Community/Behavioral Health | 107 N. Fourth Street, Sheldon, IL 60966 | 2011-08-29 |
| 1811277320 | Iroquois Mental Health Center | Community/Behavioral Health | 141 West Garfield Ave, Cissna Park, IL 60924 | 2011-08-29 |
| 1639734379 | Iroquois Mental Health Center | Community/Behavioral Health | 411 W Division St, Manteno, IL 60950-1065 | 2019-05-08 |
| 1336617869 | Iroquois Mental Health Center | Substance Abuse Rehabilitation Facility | 411 W Division St, Manteno, IL 60950-1065 | 2018-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IROQUOIS MENTAL HEALTH CENTER | 323 W Mulberry St, Watseka, IL 60970-1568 |
| Street Address |
102 COMMERCE DR |
| City | CLIFTON |
| State | IL |
| Zip Code | 60927-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235148693 | Annesley T Devasgunawardhane | Family Medicine | 102 Commerce Dr, Clifton, IL 60927-9501 | 2006-08-05 |
| 1972053064 | Iroquois Mental Health Center | Clinic/Center | 102 Commerce Dr, Clifton, IL 60927-9501 | 2016-10-12 |
| 1093919821 | A T & G P Devasgunawardhane Md Ltd | Family Medicine | 102 Commerce Dr, Clifton, IL 60927-9501 | 2007-06-14 |
| 1982613352 | Padhmini Devasgunawardhane | Family Medicine | 102 Commerce Dr, Clifton, IL 60927-9501 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619189792 | Central District #4 | Local Education Agency (LEA) | 1134 E3100 N Road, Clifton, IL 60927 | 2007-05-03 |
| 1831228006 | Orthomotion Technology Incorporated | Durable Medical Equipment & Medical Supplies | 240 West Second Avenue, Clifton, IL 60927 | 2007-03-05 |
| 1063423655 | Abraham Thomas | Internal Medicine | 335 6th St E, Clifton, IL 60927 | 2006-08-10 |
| 1699797548 | Venkata Moparthi | Internal Medicine | 335 E Sixth St, Clifton, IL 60927 | 2006-07-23 |
| 1144355082 | Deany Chiropractic | Chiropractor | 605 So. Main St., Clifton, IL 60927-0035 | 2007-02-22 |
| 1407918287 | Chebanse Township Fire Protection District | Ambulance | 325 West Third Avenue, Clifton, IL 60927-0666 | 2006-12-15 |
| 1346493111 | Arthur Merkle Clara Knipprath Nursing Home | Durable Medical Equipment & Medical Supplies | 1190 E 2900 North Rd, Clifton, IL 60927-7103 | 2008-10-24 |
| 1598789059 | Arthur Merkle-clara Knipprath Nursing Home | Nursing Care | 1190 E 2900 N Rd, Clifton, IL 60927-7103 | 2006-07-27 |
| 1659979987 | Clifton Operations LLC | Durable Medical Equipment & Medical Supplies | 1190 E 2900 North Rd, Clifton, IL 60927-7103 | 2020-10-09 |
| 1477151702 | Clifton Operations LLC | Skilled Nursing Facility | 1190 E 2900 North Rd, Clifton, IL 60927-7103 | 2020-10-09 |
| Find all providers in zip 60927 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245809 | Neighbours-inc | Community/Behavioral Health | 614 Bloomfield Ave, Clifton, NJ 07012-1204 | 2019-10-02 |
| 1568765899 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 562 N. Coronado Blvd., Clifton, AZ 85533 | 2010-12-08 |
| 1619009701 | Mental Health Clinic of Passaic Inc | Community/Behavioral Health | 1451 Van Houten Ave, Clifton, NJ 07013-2432 | 2007-03-12 |
| 1548311301 | Hhbh Inc | Community/Behavioral Health | 470 Colfax Ave, Clifton, NJ 07013-1624 | 2007-01-16 |
| 1902993470 | Southeastern Arizona Behavioral Health Services | Community/Behavioral Health | 10-a Ward Canyon Road, Room 2, Clifton, AZ 85533 | 2006-10-06 |
| 1669956298 | Adult Family Health Services LLC | Community/Behavioral Health | 53 Orchard St, Clifton, NJ 07013-1832 | 2018-09-19 |
| 1740639004 | Advanced Behavioral Specialists, LLC | Community/Behavioral Health | 925 Clifton Ave, Suite 103, Clifton, NJ 07013-2724 | 2016-06-08 |
| 1205268034 | Adult Family Health Services LLC | Community/Behavioral Health | 53 Orchard St, Clifton, NJ 07013-1832 | 2013-08-03 |
| 1316189830 | Creative Intervention for Mental Health and Chemical Dependency,pc | Community/Behavioral Health | 1149 Bloomfield Ave, Clifton, NJ 07012-2314 | 2009-03-30 |
| 1942362041 | Serv Centers of New Jersey, Inc | Community/Behavioral Health | 777 Bloomfield Ave, Suite B, Clifton, NJ 07012 | 2006-12-14 |
| Find all providers in CLIFTON | ||||
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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.