NPIMap

Organization Active NPI

Janesville Psychiatric Clinic of Main

  • Community/Behavioral Health Agency
  • Janesville, WI
National Provider Identifier
1598149403
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3044- 123 Issued in WI
Legal business name
JANESVILLE PSYCHIATRIC CLINIC OF MAIN
Doing business as
BC Psychiatric Clinic
Practice address
2010 Parkside Dr
Janesville, WI 53548-6613
Phone
(608) 436-6161
NPI assigned
Jul 10, 2015
Organization subpart
Yes
Parent organization
JANESVILLE PSYCHIATRIC CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Mr. William Lee Hollingsworth, MS
Title
Director
Phone
(608) 436-6161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 162 - 124, 366 - 125 WI
Community/Behavioral Health Agency 251S00000X 3044- 123 WI Primary

Addresses

Primary practice location

2010 Parkside Dr
Janesville, WI 53548-6613

Mailing address

2010 Parkside Dr
Janesville, WI 53548-6613
Phone (608) 436-6161

Other names 1

  • BC Psychiatric Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Janesville Psychiatric Clinic Main Inc3 organizations share this tax ID, including this one
Part of
Janesville Psychiatric Clinic Main Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1598149403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 PARKSIDE DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535486613",
            "telephone_number": "608-436-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 PARKSIDE DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535486613",
            "telephone_number": "608-436-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANESVILLE PSYCHIATRIC CLINIC OF MAIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JANESVILLE PSYCHIATRIC CLINIC",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-436-6161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "162 - 124, 366 - 125",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3044- 123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BC Psychiatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.