JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER (NPI# 1841774981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841774981 |
Entity Type | Organization |
Organization Name | JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER |
Practice Address |
725 N Pearl St Stockton IL 61085-9267 |
Mailing Address |
Po Box 813 Freeport IL 61032-0813 |
Practice Telephone | 8159473211 |
Enumeration Date | 2018-09-24 |
Last Update Date | 2018-09-24 |
Authorized Official Name | KATHRYN MARTINEZ (VP OF PATIENT SERVICES) |
Authorized Official Telephone | 8155997529 |
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 |
---|---|---|---|---|
1366063513 | Jane Addams Community Mental Health Center | Clinic/Center | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-04-29 |
1336623453 | Jane Addams Community Mental Health Center | Clinic/Center | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2018-09-25 |
1548744782 | Jane Addams Community Mental Health Center | Clinic/Center | 2107 Chicago Ave, Savanna, IL 61074-1716 | 2018-09-24 |
1124190335 | Jane Addams Community Mental Health Center | Clinic/Center | 421 W Exchange St, Freeport, IL 61032-4030 | 2006-11-14 |
Street Address |
725 N PEARL ST |
City | STOCKTON |
State | IL |
Zip Code | 61085-9267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124094545 | Luann K Jordan | Nurse Practitioner | 725 N Pearl St, Stockton, IL 61085-9267 | 2006-02-25 |
1396880464 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 725 N Pearl St, Stockton, IL 61085-9267 | 2007-02-20 |
1215903422 | Teri A Williams | Physical Therapist | 725 N Pearl St, Stockton, IL 61085-9267 | 2006-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316330152 | Waverly Place of Stockton, LLC | Skilled Nursing Facility | 501 E Front Avenue, Stockton, IL 61085 | 2015-03-17 |
1033603790 | Caitlin M Pullara | Dentist | 120 W Front Ave, Stockton, IL 61085 | 2018-06-17 |
1598935504 | Carroll & Jo Davies & Stephenson Roe | Case Manager/Care Coordinator | 500 N Rush St, Stockton, IL 61085-1004 | 2008-03-05 |
1215105291 | Stockton Cusd 206 | Local Education Agency (LEA) | 500 N Rush St # M, Suite A, Stockton, IL 61085-1004 | 2008-02-13 |
1356587364 | Tracy L. Boyer | Occupational Therapist | 517 W Hilltop Ter, Stockton, IL 61085-1025 | 2008-12-22 |
1700059805 | Kreider Services, Inc | Intermediate Care Facility, Mentally Retarded | 605 N Main St, Stockton, IL 61085-1121 | 2008-04-09 |
1629257332 | Joseph Stephan Cahill | Chiropractor | 307 N Hudson St, Stockton, IL 61085-1219 | 2007-10-30 |
1710052246 | Stephen F Petras | Dentist | 120 W Front Ave, Stockton, IL 61085-1318 | 2006-11-21 |
1093880536 | Stockton Dental Center, Inc. | Dentist | 120 W Front Ave, Stockton, IL 61085-1318 | 2006-11-21 |
1255955449 | Andrew John Gibbs | Pharmacist | 117 N Main St, Stockton, IL 61085-1321 | 2020-06-03 |
Find all providers in zip 61085 |
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 |
---|---|---|---|---|
1881241776 | Delta Center Family Therapy Inc | Clinic/Center | 343 E Main St Ste 701, Stockton, CA 95202-2977 | 2019-08-24 |
1790344539 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2019-06-06 |
1982071502 | Telecare Corporation | Clinic/Center | 4545 Georgetown Place, Suite A3, Stockton, CA 95207-6228 | 2015-08-31 |
1215214069 | San Joaquin County Behavioral Health Services | Clinic/Center | 24 S Hunter St, Stockton, CA 95202-3231 | 2011-11-08 |
1740584218 | Nathaniel Scott | Clinic/Center | 234 E Fremont St, Stockton, CA 95202-2016 | 2010-12-27 |
1669099743 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2020-07-06 |
1730706813 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste A3, Stockton, CA 95207-6228 | 2020-07-06 |
1518526359 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl, Suite D and E-28, Stockton, CA 95207-6229 | 2019-06-06 |
1043781354 | San Joaquin County Behavioral Heatlh Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2018-12-12 |
1598232456 | San Joaquin County Behavioral Health Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2018-10-30 |
Find all providers in STOCKTON |
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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.