NPIMap

Organization Active NPI

Catholic Charities of the Diocese of Springfield-in-Illinois

  • Community/Behavioral Health Agency
  • Springfield, IL
National Provider Identifier
1437225034
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
003973-12 Issued in IL
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF SPRINGFIELD-IN-ILLINOIS
Practice address
1625 W Washington St
Springfield, IL 62702-4757
Phone
(217) 523-9201
Fax
(217) 523-5624
NPI assigned
Nov 27, 2006
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Mr. Steven Roach
Title
Executive Director
Phone
(217) 523-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 003973-12 IL Primary

Addresses

Primary practice location

1625 W Washington St
Springfield, IL 62702-4757

Mailing address

1625 W Washington St
Springfield, IL 62702-4757
Phone (217) 523-9201

Other identifiers 1

IdentifierTypeStateIssuer
166-000115OtherILMARRIAGE & FAMILY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities Diocese of Springfield in Illinois12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

800 S 5th St
Springfield, IL 62703

1625 W Washington St
Springfield, IL 62702
Phone (217) 523-9201

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1437225034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024757",
            "telephone_number": "217-523-9201",
            "fax_number": "217-523-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024757",
            "telephone_number": "217-523-9201",
            "fax_number": "217-523-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF SPRINGFIELD-IN-ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-06-23",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-523-9201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "003973-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE & FAMILY LICENSE",
            "identifier": "166-000115",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.