Family Service and Community Mental Health Center for McHenry County

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAMILY SERVICE AND COMMUNITY MENTAL HEALTH CENTER FOR MCHENRY COUNTY

Practice address

4100 Veterans Pkwy
McHenry, IL 60050-4029

Phone

(815) 385-6400

Fax

(815) 385-8127

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

J. Scott Campbell

Title

Chief Operating Officer

Phone

(815) 385-6400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fam SVC and COMM CTR for McHenry CNTY Other name

Locations

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1396795522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 VETERANS PKWY",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504029",
            "telephone_number": "815-385-6400",
            "fax_number": "815-385-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 VETERANS PKWY",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504029",
            "telephone_number": "815-385-6400",
            "fax_number": "815-385-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AND COMMUNITY MENTAL HEALTH CENTER FOR MCHENRY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "815-385-6400"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5615096",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "5615096",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fam SVC and COMM CTR for McHenry CNTY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samad Faheem, DO
• Omar Eassa Fakhoury, DO
• Shawn Marten Falitz, M.D.
• Family Service & Community Mental Health Center for McHenry County
• Family Service and Community Mental Health Center for McHenry County
• Aaron Michael Farber, D.O.
• Mahmoud Farhat, PA-C
• Lindsey Farlow, D.O.
• Farhan Farooqui, MD
• Drew Farr

• Community/Behavioral Health Agency in McHenry, IL
• Providers in McHenry, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.