NPIMap

Organization Active NPI

St Clair County Child Advocacy Center

  • Community/Behavioral Health Agency
  • Belleville, IL
National Provider Identifier
1376713206
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ST CLAIR COUNTY CHILD ADVOCACY CENTER
Practice address
226 W Main St
Suite 100
Belleville, IL 62220-1504
Phone
(618) 277-1134
Fax
(618) 277-4110
NPI assigned
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Ms. Carolyn Hubler
Title
Executive Director
Phone
(618) 277-1134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL Primary

Addresses

Primary practice location

226 W Main St
Suite 100
Belleville, IL 62220-1504

Mailing address

226 W Main St
Suite 100
Belleville, IL 62220-1504
Phone (618) 277-1134

National Provider Directory

National Provider Directory

Locations

226 W Main St
#100
Belleville, IL 62220
Phone (618) 277-1134

Practitioners & affiliated clinicians

Practitioners 1

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1376713206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201504",
            "telephone_number": "618-277-1134",
            "fax_number": "618-277-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201504",
            "telephone_number": "618-277-1134",
            "fax_number": "618-277-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR COUNTY CHILD ADVOCACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "HUBLER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-277-1134",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.