NPIMap

Organization Active NPI

Christian County Mental Health Association

  • Community/Behavioral Health Agency
  • Taylorville, IL
National Provider Identifier
1700107752
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION
Practice address
703 McAdam Dr
Taylorville, IL 62568-2300
Phone
(217) 824-4905
Fax
(217) 824-3570
NPI assigned
Jun 14, 2010
Organization subpart
Yes
Parent organization
CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Becky Carroll
Title
Records Clerk
Phone
(217) 824-4905

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

703 McAdam Dr
Taylorville, IL 62568-2300

Mailing address

PO Box 438
Taylorville, IL 62568-0438
Phone (217) 824-4905

National Provider Directory

National Provider Directory
Tax ID family
Christian County Mental Health Association6 organizations share this tax ID, including this one
Part of
Christian County Mental Health Association

Other organizations with this tax ID 5

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

Locations

703 McAdam Dr
Taylorville, IL 62568
Phone (217) 824-4905

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1700107752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625680438",
            "telephone_number": "217-824-4905",
            "fax_number": "217-824-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MCADAM DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682300",
            "telephone_number": "217-824-4905",
            "fax_number": "217-824-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "RECORDS CLERK",
        "authorized_official_telephone_number": "217-824-4905"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.