CHADDOCK (NPI# 1730548140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730548140 |
| Entity Type | Organization |
| Organization Name | CHADDOCK |
| Practice Address |
205 S 24th St Quincy IL 62301-4446 |
| Practice Telephone | 2172220034 |
| Mailing Telephone | 2172220034 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | MS. MELISSA FELSMAN (THERAPIST) |
| Authorized Official Telephone | 2175920430 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093063208 | Chaddock | Foster Care Agency | 921 N 24th St, Quincy, IL 62301-2267 | 2012-08-17 |
| 1033157748 | Chaddock | Community Based Residential Treatment Facility, Mental Illness | 205 S 24th St, Quincy, IL 62301-4446 | 2006-06-03 |
| 1225443880 | Chaddock | Community/Behavioral Health | 2272 Chestnut St, Quincy, IL 62301-2215 | 2014-06-23 |
| 1386981520 | Chaddock | Community/Behavioral Health | 131 N 4th St, Quincy, IL 62301-2913 | 2013-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CHADDOCK PRINTING CORPORATION | 501 Fifth Ave., New York, Ny 10017 |
| Washington State Corporations | CHADDOCK PROFESSIONAL SERVICES PLLC | 3925 Keystone Way, Bellingham, WA 98226-1739 |
| Street Address |
205 S 24TH ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033157748 | Chaddock | Community Based Residential Treatment Facility, Mental Illness | 205 S 24th St, Quincy, IL 62301-4446 | 2006-06-03 |
| 1407484454 | Darion Stephens | Counselor | 205 S 24th St, Quincy, IL 62301-4446 | 2020-03-27 |
| 1285103259 | Jennifer A Stajduhar | Counselor | 205 S 24th St, Quincy, IL 62301-4492 | 2018-11-19 |
| 1295202752 | Lora Lea Frisbie | Social Worker | 205 S 24th St, Quincy, IL 62301-4492 | 2018-11-01 |
| 1780177931 | Kara C Moon | Social Worker | 205 S 24th St, Quincy, IL 62301-4492 | 2018-06-12 |
| 1952806226 | Jonathan Eric Bastian | Counselor | 205 S 24th St, Quincy, IL 62301-4492 | 2018-03-28 |
| 1518474527 | Amanda Becks | Social Worker | 205 S 24th St, Quincy, IL 62301 | 2017-12-29 |
| 1245769413 | Timothy A White | Social Worker | 205 S 24th St, Quincy, IL 62301-4446 | 2017-06-09 |
| 1255876579 | Kaylee E Will | Counselor | 205 S 24th St, Quincy, IL 62301-4446 | 2016-12-21 |
| 1881056851 | Hayley Stoneking | Counselor | 205 S 24th St, Quincy, IL 62301-4446 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841850476 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 1400 E Touhy Ave # 300a, Des Plaines, IL 60018-3305 | 2019-06-17 |
| 1831759653 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 1400 E Touhy Ave # 300b, Des Plaines, IL 60018-3305 | 2019-06-14 |
| 1437649266 | Eating Recovery Center | Psychiatric Residential Treatment Facility | 1 E Erie St Ste 400, Chicago, IL 60611-2785 | 2018-05-17 |
| 1588039556 | Bianca Davis | Psychiatric Residential Treatment Facility | 18610 Morris Ave, Homewood, IL 60430-3628 | 2015-12-02 |
| 1992110217 | Insight Behavioral Health Centers | Psychiatric Residential Treatment Facility | 200 E Ohio St, B, Chicago, IL 60611-7269 | 2014-06-25 |
| 1639466915 | Bhc Streamwood Hospital Inc | Psychiatric Residential Treatment Facility | 1360 E Irving Park Rd, Streamwood, IL 60107-3202 | 2011-07-07 |
| 1164751913 | Gpr Solutions Sc | Psychiatric Residential Treatment Facility | 554 Bovidae Cir, Naperville, IL 60565-6184 | 2009-12-08 |
| 1932330446 | Jubilee Health Inc | Psychiatric Residential Treatment Facility | 1016 Victoria Ln, Glendale Heights, IL 60139-4508 | 2009-07-31 |
| 1144427378 | Colin M Hayes | Psychiatric Residential Treatment Facility | 555 Fairview Dr, Office, Rochelle, IL 61068-2310 | 2007-06-29 |
| 1306873419 | Maryville Academy | Psychiatric Residential Treatment Facility | 555 Wilson Lane, Maryville Scott Nolan Center, Des Plaines, IL 60016-4729 | 2006-06-26 |
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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.