Children'S Center for Behavioral Development

Primary specialty

CounselorTaxonomy code 101Y00000X

License

165005001 Issued in IL

Legal business name

CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPMENT

Practice address

353 N 88TH St
East Saint Louis, IL 62203-2705

Phone

(618) 398-1152

Fax

(618) 398-6977

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Carolyn Birth

Title

Chief Executive Officer

Phone

(618) 398-1152

Specialties & licenses 2

Addresses

Tax ID family

Children'S Center for Behavioral Developement2 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.

• Children'S Center for Behavioral Developement

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centreville, IL
  • NPI 1164612065
  NPD tax ID

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1184677619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 N 88TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622032705",
            "telephone_number": "618-398-1152",
            "fax_number": "618-398-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N 88TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622032705",
            "telephone_number": "618-398-1152",
            "fax_number": "618-398-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "BIRTH",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "618-398-1152"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "165005001",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "101YM0800X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Call for Help, Inc.
• Call for Help, Inc.
• Hilary B Campbell, RD
• Charlotte Chance, RN, AE-C
• Jennifer Childerson, MSW
• Children'S Home and Aid
• Childrens Home & Aid Soc of Il
• Choice Community Care, Inc.
• Alicia Michelle Collier
• Laura A. Collier, CNP

• Counselor in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.