Presence Central and Suburban Hospitals Network

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

0004838 Issued in IL

Legal business name

PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK

Doing business as

Presence St. Joseph Medical Center - Psychiatric Unit

Practice address

333 Madison St
Joliet, IL 60435-8200

Phone

(815) 725-7133

NPI assigned

Dec 11, 2006

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PRESENCE CENTRAL & SUBURBAN HOSPITALS NETWORKAs reported in NPPES

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

Authorized official

Name

Richard Douglas Carter

Title

Amita Cfo

Phone

(224) 273-2350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Presence St. Joseph Medical Center - Psychiatric Unit Doing business as

Part of

Mercy Ctr Health

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1003976713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7133",
            "fax_number": "815-741-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE CENTRAL & SUBURBAN HOSPITALS NETWORK",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "AMITA CFO",
        "authorized_official_telephone_number": "224-273-2350"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "0004838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "14-0007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence St. Joseph Medical Center - Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Presence St. Joseph Medical Center - Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Premise Health of Illinois Medical PC (MCL Health Center)
• Presence Central and Suburban Hospitals Network (Presence Saint Joseph Medical Center-Rehab Unit)
• Presence Central and Suburban Hospitals Network (Presence Neuroscience Institute)
• Presence Central and Suburban Hospitals Network (PSJMC Neonatology)
• Presence Central and Suburban Hospitals Network (Presence St. Joseph Medical Center)
• Presence Central and Suburban Hospitals Network (PSJMC Surgical Oncologist)

• Psychiatric Hospital Unit in Joliet, IL
• Providers in Joliet, IL by specialty
• Psychiatric Hospital Unit in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.