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
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHADDOCK ATTACHMENT AND TRAUMA SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

3001 Lindell Ave
Quincy, IL 62301-4524

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Chaddock7 organizations share this tax ID, including this one
Part of
Chaddock

Other organizations with this tax ID 6

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

Locations

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

NPI Registry JSON

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

{
    "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.