JANET WATTLES CENTER (NPI# 1831486521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831486521 |
| Entity Type | Organization |
| Organization Name | JANET WATTLES CENTER |
| Practice Address |
2014 Auburn St Rockford IL 61103-4479 |
| Mailing Address |
526 W State St Rockford IL 61101-1214 |
| Practice Telephone | 8159689300 |
| Mailing Telephone | 8159689300 |
| Mailing Fax Number | 8159685314 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | PHIL EATON (CEO/PRESIDENT) |
| Authorized Official Telephone | 8159689300 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 10120962 | 01 |
| IL | 020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659668333 | Janet Wattles Center | Clinic/Center | 2406 Auburn St, Rockford, IL 61103-4495 | 2011-07-01 |
| 1124313465 | Janet Wattles Center | Clinic/Center | 1422 20th St, Rockford, IL 61104-3519 | 2011-06-15 |
| 1578858817 | Janet Wattles Center | Clinic/Center | 1509 Benton St, Rockford, IL 61107-4322 | 2011-06-15 |
| 1558327544 | Janet Wattles Center | Clinic/Center | 526 W State St, Rockford, IL 61101-1214 | 2006-04-26 |
| 1922395615 | Janet Wattles Center | Clinic/Center | 8616 Northern Ave, Rockford, IL 61107-5309 | 2011-07-01 |
| 1245525583 | Janet Wattles Center | Clinic/Center | 475 Southtowne Dr, Belvidere, IL 61008-5643 | 2011-06-15 |
| 1225323561 | Janet Wattles Center | Clinic/Center | 707 N Court St, Rockford, IL 61103-6954 | 2011-06-15 |
| Street Address |
2014 AUBURN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181440 | James A Wooldridge | Counselor | 2014 Auburn St, Rockford, IL 61103-4479 | 2018-10-24 |
| 1538635487 | Stacy Skirvin | Counselor | 2014 Auburn St, Rockford, IL 61103-4479 | 2018-10-18 |
| 1578047387 | Kris James Manders | Counselor | 2014 Auburn St, Rockford, IL 61103-4479 | 2018-09-18 |
| 1275814568 | Rosecrance | Community Based Residential Treatment Facility, Mental Illness | 2014 Auburn St, Rockford, IL 61103-4479 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| 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 |
|---|---|---|---|---|
| 1659668333 | Janet Wattles Center | Clinic/Center | 2406 Auburn St, Rockford, IL 61103-4495 | 2011-07-01 |
| 1124313465 | Janet Wattles Center | Clinic/Center | 1422 20th St, Rockford, IL 61104-3519 | 2011-06-15 |
| 1578858817 | Janet Wattles Center | Clinic/Center | 1509 Benton St, Rockford, IL 61107-4322 | 2011-06-15 |
| 1366762064 | Lutheran Social Services of Il | Clinic/Center | 308 W State St Ste 205, Rockford, IL 61101-1117 | 2010-06-03 |
| 1306070032 | Along The Path Counseling Services P.C. | Clinic/Center | 433 S Phelps Ave, Suite 2, Rockford, IL 61108-2442 | 2009-05-09 |
| 1851457121 | Joseph H. Vaughn | Clinic/Center | 4875 Manhattan Dr, Rockford, IL 61108 | 2006-12-29 |
| 1558327544 | Janet Wattles Center | Clinic/Center | 526 W State St, Rockford, IL 61101-1214 | 2006-04-26 |
| 1194382069 | Jesse Belle Counseling Pllc | Clinic/Center | 1639 N Alpine Rd Ste 403, Rockford, IL 61107-1440 | 2019-05-24 |
| 1942771548 | Center for The Healing Mind Pllc | Clinic/Center | 6653 Weaver Rd Ste 105, Rockford, IL 61114-8052 | 2018-12-09 |
| 1114493772 | Remedies Renewing Lives | Clinic/Center | 220 Easton Pkwy, Rockford, IL 61108-2203 | 2018-10-22 |
| Find all providers in ROCKFORD | ||||
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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.