NPIMap

Organization Active NPI

Heritage Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IL
National Provider Identifier
1659544872
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HERITAGE BEHAVIORAL HEALTH CENTER
Practice address
1370 E Carrie Lane
Decatur, IL 62526
Phone
(217) 421-7297
Fax
(217) 362-6290
NPI assigned
Apr 9, 2008
Organization subpart
Yes
Parent organization
HERITAGE BEHAVIORAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Mary Garrison, LCSWNPI 1598073959
Title
President/Ceo
Phone
(217) 362-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X T IL

Addresses

Primary practice location

1370 E Carrie Lane
Decatur, IL 62526

Mailing address

PO Box 710
Decatur, IL 62525-0710
Phone (217) 362-6262

Other names 1

  • Decatur Mental Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Heritage Behavioral Health14 organizations share this tax ID, including this one
Part of
Heritage Behavioral Health

Other organizations with this tax ID 13

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

View all 13

Locations

2965 N Main St
Decatur, IL 62526
Phone (217) 464-1250

Practitioners & affiliated clinicians

Practitioners 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1659544872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625250710",
            "telephone_number": "217-362-6262",
            "fax_number": "217-362-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 E CARRIE LANE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-421-7297",
            "fax_number": "217-362-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE BEHAVIORAL HEALTH CENTER",
        "enumeration_date": "2008-04-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "217-362-6262",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Mental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.