Macon Resources, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MACON RESOURCES, INC.

Practice address

2121 Hubbard Ave
Decatur, IL 62526-2876

Phone

(217) 872-5380

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Priscilla Maxwell

Title

Director of Behavioral Health

Phone

(217) 872-5380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1457044919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HUBBARD AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262876",
            "telephone_number": "217-872-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HUBBARD AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262876",
            "telephone_number": "217-872-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "217-872-5380"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macon County Health Department
• Macon County Medical Associates, P.C.
• Macon County Mental Health Board
• Macon Piatt County Spec Ed Dist
• Macon Resources, Inc.
• Macon Resoureces, Inc
• Leticia Madding
• Rana Hamid Mahmood, MD
• Laila Mahmoud Hashim, MD
• Meghan L Mahoney, APRN, CNP

• Adult Mental Health Clinic/Center in Decatur, IL
• Providers in Decatur, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.