NPIMap

Organization Active NPI

Cunningham Children's Home of Urbana, Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Urbana, IL
National Provider Identifier
1760157838
Registry record updated Aug 11, 2021
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
CUNNINGHAM CHILDREN'S HOME OF URBANA, IL
Practice address
1204 N Division Ave
Urbana, IL 61801-1870
Phone
(217) 337-9057
Fax
(217) 367-5910
NPI assigned
Aug 11, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Shawn Suzette Peterson
Title
Director of Quality Improvement
Phone
(217) 367-3728

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1204 N Division Ave
Urbana, IL 61801-1870

Mailing address

1301 N Cunningham Ave
Urbana, IL 61802-1830
Phone (217) 367-3728

Other names 1

  • Community Services Building Other name

National Provider Directory

National Provider Directory
Tax ID family
Cunningham Children's Home of Urbana Il10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1204 N Division Ave
Urbana, IL 61801
Phone (217) 337-9057

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1760157838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N CUNNINGHAM AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618021830",
            "telephone_number": "217-367-3728",
            "fax_number": "217-367-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N DIVISION AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618011870",
            "telephone_number": "217-337-9057",
            "fax_number": "217-367-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM CHILDREN'S HOME OF URBANA, IL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY IMPROVEMENT",
        "authorized_official_telephone_number": "217-367-3728"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Services Building",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.