NPIMap

Organization Active NPI

M.H.R.C. Inc.

  • Clinical Psychologist
  • Rockford, IL
National Provider Identifier
1235243510
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
036044184 Issued in IL
Legal business name
M.H.R.C. INC.
Practice address
5668 East State Street
#2500
Rockford, IL 61108-3108
Phone
(815) 633-5985
Fax
(815) 633-5927
NPI assigned
Aug 17, 2006
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Martin J Fields, MD
Title
Psychiatrist
Phone
(815) 633-5985

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071006307 IL
Clinical Psychologist 103TC0700X 036044184 IL Primary

Addresses

Primary practice location

5668 East State Street
#2500
Rockford, IL 61108-3108

Mailing address

PO. Box 15395
Loves Park, IL 61132-5395
Phone (815) 633-5985

National Provider Directory

National Provider Directory

Locations

900 S Chestnut St
Pana, IL 62557
Phone (217) 562-3996

3301 W Richwoods Blvd
Peoria, IL 61604
Phone (309) 685-5241

3611 N Rochelle Ln
Peoria, IL 61604
Phone (309) 686-4169

1200 Evenglow Ln
Pontiac, IL 61764
Phone (815) 842-9040

1311 Parkview Ave
Rockford, IL 61107
Phone (815) 395-8700

1437 S Bell School Rd
Ste 6
Rockford, IL 61108
Phone (815) 633-5985

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1235243510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO. BOX 15395",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611325395",
            "telephone_number": "815-633-5985",
            "fax_number": "815-633-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5668 EAST STATE STREET",
            "address_2": "#2500",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083108",
            "telephone_number": "815-633-5985",
            "fax_number": "815-633-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.H.R.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "815-633-5985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006307",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "036044184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.