NPIMap

Organization Active NPI

Healing Hands Resource Center

Doing business as healing hands resource center princeton

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Princeton, IL
National Provider Identifier
1699216689
Registry record updated Nov 25, 2019
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
HEALING HANDS RESOURCE CENTER
Practice address
500 Elm PL Ste 3
Princeton, IL 61356-1421
Phone
(773) 467-6967
Fax
(773) 572-9553
NPI assigned
Mar 10, 2017
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALING HANDS RESOURCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Dr. Valencia Green, MD, MPH
Title
Ceo
Phone
(773) 467-6967

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

500 Elm PL Ste 3
Princeton, IL 61356-1421

Mailing address

1022 N Kedzie Ave
Chicago, IL 60651-4128
Phone (773) 467-6967

Other names 1

  • Healing Hands Resource Center Princeton Other name

National Provider Directory

National Provider Directory
Tax ID family
Healing Hands Resource Center11 organizations share this tax ID, including this one
Part of
Healing Hands Resource Center

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1699216689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514128",
            "telephone_number": "773-467-6967",
            "fax_number": "773-572-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ELM PL STE 3",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561421",
            "telephone_number": "773-467-6967",
            "fax_number": "773-572-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS RESOURCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALING HANDS RESOURCE CENTER",
        "enumeration_date": "2017-03-10",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-467-6967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healing hands resource center princeton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "healing hands resource center princeton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healing Hands Resource Center Princeton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Princeton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.