JANET WATTLES CENTER (NPI# 1922395615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922395615 |
| Entity Type | Organization |
| Organization Name | JANET WATTLES CENTER |
| Practice Address |
8616 Northern Ave Rockford IL 61107-5309 |
| 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 | 021 | 05 | |
| IL | BCBS | 10120962 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831486521 | Janet Wattles Center | Clinic/Center | 2014 Auburn St, Rockford, IL 61103-4479 | 2011-07-01 |
| 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 |
| 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 |
8616 NORTHERN AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245217959 | Raymond Christopher Garcia | Psychiatry & Neurology | 8616 Northern Ave, Rockford, IL 61107-5309 | 2005-12-23 |
| 1659930956 | Margaret L Loy | Psychologist | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-06-10 |
| 1366005779 | Jacob Urbelis | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-04-22 |
| 1679032692 | Asia E Mueller | Registered Nurse | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-03-19 |
| 1134688179 | Lori Martineau | Social Worker | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-03-19 |
| 1669931689 | Christina Renee Kelley | Registered Nurse | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-03-19 |
| 1497220388 | Jermaine E Tolefree | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-10-08 |
| 1699253617 | Lakeysha Watkins | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-08-01 |
| 1528546587 | Kelsey E Hayes | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-08-01 |
| 1417435652 | Shannon Marie Ferriter | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| 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 |
|---|---|---|---|---|
| 1831486521 | Janet Wattles Center | Clinic/Center | 2014 Auburn St, Rockford, IL 61103-4479 | 2011-07-01 |
| 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 |
| Find all providers in ROCKFORD | ||||
Please comment or provide details below to improve the information on JANET WATTLES CENTER.
| 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.