NPIMap

Organization Active NPI

Tazwood Mental Health Center, Inc.

Doing business as Tazwood Center for Wellness

  • Community/Behavioral Health Agency
  • Canton, IL
National Provider Identifier
1629444070
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
04132 Issued in IL
Legal business name
TAZWOOD MENTAL HEALTH CENTER, INC.
Doing business as
Tazwood Center for Wellness
Practice address
210 W. Walnut Street
Canton, IL 61520-2444
Phone
(309) 647-5240
NPI assigned
Aug 19, 2015
Organization subpart
Yes
Parent organization
TAZWOOD MENTAL HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
N Brenda Franklin
Title
Credentialing Specialist
Phone
(309) 477-5526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 04132 IL Primary

Addresses

Primary practice location

210 W. Walnut Street
Canton, IL 61520-2444

Mailing address

210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240

Other names 1

  • Tazwood Center for Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tazwood Mental Health Center14 organizations share this tax ID, including this one
Part of
Tazwood Mental Health Center

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1629444070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W WALNUT ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202444",
            "telephone_number": "309-647-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W. WALNUT STREET",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202444",
            "telephone_number": "309-647-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAZWOOD MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAZWOOD MENTAL HEALTH CENTER, INC.",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "BRENDA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "309-477-5526"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "04132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tazwood Center for Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.