Discovery House RF

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

A72600001A Issued in IL

Legal business name

DISCOVERY HOUSE RF

Practice address

4855 E State St
Rockford, IL 61108-2274

Phone

(815) 484-0900

Fax

(815) 484-1010

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter F Morris

Title

Coo

Phone

(401) 780-2300

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1023289048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PAVILION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051522",
            "telephone_number": "401-780-2300",
            "fax_number": "401-780-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082274",
            "telephone_number": "815-484-0900",
            "fax_number": "815-484-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY HOUSE RF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "401-780-2300"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "A72600001A",
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "IL",
            "license": "A72600001A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Alison Dineen, CCC-SLP
• Amy L Dinello, PA-C
• Directcare Physician Services, S.C.
• Roxana Elena Dirla, DDS
• Disability Management Network
• Carrie F Distrito, PT
• Emily Ditsch, DPT
• Helen Dittmer, MSN, DNS-CT, RN
• Carly Renee Ditto
• Cristina Diventi, LSW

• Adult Mental Health Clinic/Center in Rockford, IL
• Providers in Rockford, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.