Salve Regina Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SALVE REGINA CENTER

Practice address

1500 N 5TH St
Springfield, IL 62702-2643

Phone

(217) 330-5773

NPI assigned

Jun 10, 2022

Last updated

Jan 24, 2024By 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

Ms. Melinda Osborn, LCPCNPI 1487009221

Title

Owner

Phone

(217) 330-5773

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melinda Osborn, LCPC

  • Professional Counselor
  • Springfield, IL
  • NPI 1487009221
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1053040378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022643",
            "telephone_number": "217-330-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022643",
            "telephone_number": "217-330-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVE REGINA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-330-5773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saliha Saleem, MD
• Ezzeldin A Saleh, MD
• Nabeel Salka, MD, MSE
• Jared Salrin, MS3
• Laurie Ann Salvacion, P.T.
• Sam Gaines P C
• Sam's Club Optical (Sam's Club Optical 30-8215)
• Billee L Samples, PHARMD
• Sams West Inc (Sams Pharmacy)
• Gregg Sams

• Adult Mental Health Clinic/Center in Springfield, IL
• Providers in Springfield, 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 Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.