IROQUOIS MENTAL HEALTH CENTER (NPI# 1972955177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972955177 |
| Entity Type | Organization |
| Organization Name | IROQUOIS MENTAL HEALTH CENTER |
| Practice Address |
380 W North St Manhattan IL 60442-9839 |
| Mailing Address |
323 W Mulberry St Po Box 322 Watseka IL 60970-1568 |
| Practice Telephone | 8154325241 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | DR. DENNIS P. HOPKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8154325241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 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 |
380 W NORTH ST |
| City | MANHATTAN |
| State | IL |
| Zip Code | 60442-9839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518971167 | Anne Doroba | Physical Medicine & Rehabilitation | 380 W North St, Manhattan, IL 60442-9839 | 2006-07-28 |
| 1619427796 | Iroquois Mental Health Center | Clinic/Center | 380 W North St, Manhattan, IL 60442-9839 | 2016-10-12 |
| 1265751838 | Jennifer Lyn Fitzer | Registered Nurse | 380 W North St, Manhattan, IL 60442-9839 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851704951 | Ashley Pawlak | Physical Therapy Assistant | 240 S. Park St., Manhattan, IL 60442 | 2014-06-05 |
| 1295917300 | Christian E Foltys Dds PC | Dentist | 24600 South Route 52, Manhattan, IL 60442 | 2007-11-30 |
| 1275728073 | Kelly M Casey | Social Worker | 13920 W Joliet Rd, Manhattan, IL 60442 | 2007-09-14 |
| 1194758706 | Manhattan Fire Protection District | Ambulance | 100 Park Rd, Manhattan, IL 60442 | 2006-07-08 |
| 1003947995 | April M Kamba | Specialist/Technologist | 140 W 1st St, Manhattan, IL 60442-0579 | 2007-03-09 |
| 1285850511 | Melissa Culligan | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2007-04-17 |
| 1265862981 | Nicole Mcdonald | Art Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2013-11-15 |
| 1598102063 | Mary Gomulka | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2013-05-23 |
| 1982040754 | Mandy Stanis | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2013-05-20 |
| 1114288693 | Above and Beyond Pediatric Therapy, Corp | Early Intervention Provider Agency | 25145 Spring St, Manhattan, IL 60442-1402 | 2012-05-31 |
| Find all providers in zip 60442 | ||||
| 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 |
|---|---|---|---|---|
| 1245649748 | Dr Stephanie Morris, LLC | Community/Behavioral Health | 227 Blue Earth Pl, Suite 203b, Manhattan, KS 66502-6347 | 2014-08-08 |
| 1326475229 | Nathan Lenz, LLC | Community/Behavioral Health | 2505 Anderson Ave, Ste 101, Manhattan, KS 66502-3027 | 2013-10-09 |
| 1639327026 | Restoration Center Inc | Community/Behavioral Health | 122 S 4th St, Manhattan, KS 66502-6110 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
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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.