The Pavilion Foundation

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

0004689 Issued in IL

Legal business name

THE PAVILION FOUNDATION

Practice address

809 W Church St
Champaign, IL 61820-3320

Phone

(217) 373-1700

NPI assigned

Feb 23, 2009

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Cfo/Sr VP

Phone

(610) 768-3300

Specialties & licenses 1

Addresses

Other names 1

• South Pavilion Residential Treatment Center Doing business as

Tax ID family

Pavilion Foundation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Pavilion Foundation

  • Psychiatric Hospital
  • Champaign, IL
  • NPI 1518930619
  NPD tax ID
• Pavilion Foundation Pharmacy

  • Psychiatric Hospital
  • Champaign, IL
  • NPI 1780055608
  NPD tax ID
• The Pavilion Foundation

  • Psychiatric Residential Treatment Facility
  • Champaign, IL
  • NPI 1659511228
  NPD tax ID

Locations

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1407096043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W CHURCH ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203320",
            "telephone_number": "217-373-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W CHURCH ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203320",
            "telephone_number": "217-373-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAVILION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO/SR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IL",
            "license": "0004689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Pavilion Residential Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Carpal Tunnel Center LLC
• The Center for Youth and Family Solutions
• The Exquisite Care Company LLC
• The Eye Center
• The Heart and Stroke Prevention Institute LLC
• The Pavilion Foundation
• The Vitality Center
• Kristin E Thies, PSYD
• Lauren Thiessen, PHARMD
• Megan Mariah Thilmony, PA-C

• Psychiatric Residential Treatment Facility in Champaign, IL
• Providers in Champaign, IL by specialty
• Psychiatric Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.