NPIMap

Organization Active NPI

Catholic Charities of the Diocese of Joliet

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morris, IL
National Provider Identifier
1679964308
Registry record updated Jul 9, 2018
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
CATHOLIC CHARITIES OF THE DIOCESE OF JOLIET
Practice address
201 Liberty St
Suite 241
Morris, IL 60450
Phone
(800) 240-7011
Fax
(815) 941-2563
NPI assigned
Feb 17, 2015
Last updated
Jul 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Sally Wold
Title
Compliance and Quality Performance
Phone
(815) 723-3405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

201 Liberty St
Suite 241
Morris, IL 60450

Mailing address

58 E Clinton St Ste 200
Joliet, IL 60432-4193
Phone (815) 723-0331

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Diocese of Joliet7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

58 E Clinton St
Ste 200
Joliet, IL 60432
Phone (800) 240-7011

201 Liberty St
Ste 241
Morris, IL 60450
Phone (800) 240-7011

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1679964308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 E CLINTON ST STE 200",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324193",
            "telephone_number": "815-723-0331",
            "fax_number": "815-723-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LIBERTY ST",
            "address_2": "SUITE 241",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "60450",
            "telephone_number": "800-240-7011",
            "fax_number": "815-941-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF JOLIET",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "COMPLIANCE AND QUALITY PERFORMANCE",
        "authorized_official_telephone_number": "815-723-3405"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.