NPIMap

Organization Active NPI

Mental Health and Deafness Resources, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bloomington, IL
National Provider Identifier
1003181678
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MENTAL HEALTH AND DEAFNESS RESOURCES, INC.
Doing business as
Prairieview 2
Practice address
3024 E Oakland Ave
Bloomington, IL 61704-6214
Phone
(309) 661-1605
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gail Fisher
Title
Administrator
Phone
(847) 509-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3024 E Oakland Ave
Bloomington, IL 61704-6214

Mailing address

614 Anthony TRL
Northbrook, IL 60062-2540
Phone (847) 509-8260

Other names 1

  • Prairieview 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mental Health and Deafness Resources Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1003181678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 ANTHONY TRL",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622540",
            "telephone_number": "847-509-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 E OAKLAND AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046214",
            "telephone_number": "309-661-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH AND DEAFNESS RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-509-8260"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairieview 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.