Organization Active NPI

Second Judicial Circuit of Missouri Dba Bnjjc

  • Adolescent and Children Mental Health Clinic/Center
  • Kirksville, MO
National Provider Identifier
1174274831
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SECOND JUDICIAL CIRCUIT OF MISSOURI DBA BNJJC
Practice address
1400 S Boundary St
Kirksville, MO 63501-1704
Phone
(660) 665-4224
Fax
(660) 665-2968
NPI assigned
Jan 14, 2022
Last updated
Jan 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Michelle Curry, MSW
Title
Court Services Administrator
Phone
(660) 665-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1400 S Boundary St
Kirksville, MO 63501-1704

Mailing address

1400 S Boundary St
Kirksville, MO 63501-1704
Phone (660) 665-4224

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL wendy.potter@courts.mo.gov

National Provider Directory

National Provider Directory
Tax ID family
Bruce Normile Juvenile Justice Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1174274831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S BOUNDARY ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011704",
            "telephone_number": "660-665-4224",
            "fax_number": "660-665-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S BOUNDARY ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011704",
            "telephone_number": "660-665-4224",
            "fax_number": "660-665-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND JUDICIAL CIRCUIT OF MISSOURI DBA BNJJC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "COURT SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "660-665-4224",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "wendy.potter@courts.mo.gov",
            "affiliation": "N",
            "address_1": "1400 S Boundary St",
            "city": "Kirksville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "635011704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.