Grundy County Health Department

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GRUNDY COUNTY HEALTH DEPARTMENT

Practice address

1320 Union St
Morris, IL 60450-2426

Phone

(815) 941-3404

Fax

(815) 941-2389

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Michelle L Pruim

Title

Administrator

Phone

(815) 941-3113

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Grundy County Health Department

  • State or Local Public Health Clinic/Center
  • Morris, IL
  • NPI 1649429812

  O20111219000717

  Same enrollment

Tax ID family

Grundy County Health Department3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Grundy County Health Department

  • State or Local Public Health Clinic/Center
  • Morris, IL
  • NPI 1649429812
  NPD tax ID
• Grundy County Health Department

  • Community/Behavioral Health Agency
  • Morris, IL
  • NPI 1912156191
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Kitsos Druck, APN, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoffman Estates, IL
  • NPI 1336534791
  Medicare reassignment NPD
• Christine M Reynolds, DNP, PMHNP-BC

  • Psychiatry Physician
  • Matteson, IL
  • NPI 1659443810
  Medicare reassignment NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1477686780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 UNION ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502426",
            "telephone_number": "815-941-3404",
            "fax_number": "815-941-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 UNION ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502426",
            "telephone_number": "815-941-3404",
            "fax_number": "815-941-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNDY COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "PRUIM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-941-3113"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Grant, LCSW
• Kimberly Ann Gregory, M.S., CCC-SLP/L
• Jennifer Christine Gromm
• Grundy Area P. a. D. S.
• Grundy County Drug Co Inc
• Grundy County Health Department
• Grundy County Health Department
• Grundy County Pain Center SC
• Grundy County Spec Educ Coop
• Grundy County Special Education Cooperative

• Mental Health Clinic/Center (Including Community Mental Health Center) in Morris, IL
• Providers in Morris, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.