NPIMap

Organization Active NPI

Healing Hands Resource Center Streator

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Streator, IL
National Provider Identifier
1750822763
Registry record updated Mar 10, 2017
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 STREATOR
Doing business as
healing hands resource center streator
Practice address
401 W Bridge St
Streator, IL 61364-2705
Phone
(773) 814-3202
Fax
(773) 572-9553
NPI assigned
Mar 10, 2017
Last updated
Mar 10, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALING HANDS RESOURCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Dr. Yihoodah Yisrael Green, M.D.
Title
Medical Director
Phone
(773) 814-3202

Specialties & licenses 2

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

Addresses

Primary practice location

401 W Bridge St
Streator, IL 61364-2705

Mailing address

1022 N Kedzie Ave
Chicago, IL 60651-4128
Phone (773) 814-3202

Other names 1

  • healing hands resource center streator Doing business as

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.

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": "1489104000000",
    "number": "1750822763",
    "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": "773-814-3202",
            "fax_number": "773-572-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BRIDGE ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642705",
            "telephone_number": "773-814-3202",
            "fax_number": "773-572-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS RESOURCE CENTER STREATOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALING HANDS RESOURCE CENTER",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "YIHOODAH",
        "authorized_official_middle_name": "YISRAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-814-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healing hands resource center streator",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Streator, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.