NPIMap

Organization Active NPI

Chaddock Attachment and Trauma Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, IL
National Provider Identifier
1306625439
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CHADDOCK ATTACHMENT AND TRAUMA SERVICES
Practice address
3001 Lindell Ave
Quincy, IL 62301-4524
Phone
(217) 222-0034
NPI assigned
Sep 27, 2023
Organization subpart
Yes
Parent organization
CHADDOCK ATTACHMENT AND TRAUMA SERVICESAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Kristen Patton
Title
Director of Finance
Phone
(217) 592-0317

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Chaddock (7 organizations share this tax ID)
Part of
Chaddock

Locations

3001 Lindell Ave
Quincy, IL 62301
Phone (217) 222-0034

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

3001 Lindell Ave
Quincy, IL 62301-4524

Mailing address

205 S 24TH St
Quincy, IL 62301-4446
Phone (217) 222-0034

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2024.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1306625439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S 24TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014446",
            "telephone_number": "217-222-0034",
            "fax_number": "217-222-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LINDELL AVE",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014524",
            "telephone_number": "217-222-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHADDOCK ATTACHMENT AND TRAUMA SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHADDOCK ATTACHMENT AND TRAUMA SERVICES",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "217-592-0317"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.