Organization Active NPI

P.a.T.S. Prevention and Treatment Services

  • Clinical Social Worker
  • Urbana, IL
National Provider Identifier
1295132728
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009355 Issued in IL
Legal business name
P.A.T.S. PREVENTION AND TREATMENT SERVICES
Practice address
300 S Broadway Ave
Ste 110 a
Urbana, IL 61801-3449
Phone
(217) 954-1128
Fax
(217) 954-1514
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Ms. Patricia A Ray, LCSWNPI 1467523118
Title
Owner
Phone
(217) 954-1128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149009355 IL Primary

Addresses

Primary practice location

300 S Broadway Ave
Ste 110 a
Urbana, IL 61801-3449

Mailing address

300 S Broadway Ave
Ste 110 a
Urbana, IL 61801-3449
Phone (217) 954-1128

National Provider Directory

National Provider Directory

Locations

300 S Broadway Ave
Ste 110
Urbana, IL 61801
Phone (217) 954-1128

300 S Broadway Ave
Ste 110A
Urbana, IL 61801
Phone (217) 417-0864

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1295132728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BROADWAY AVE",
            "address_2": "STE 110 A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013449",
            "telephone_number": "217-954-1128",
            "fax_number": "217-954-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BROADWAY AVE",
            "address_2": "STE 110 A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013449",
            "telephone_number": "217-954-1128",
            "fax_number": "217-954-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.A.T.S. PREVENTION AND TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-954-1128",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.