Active NPI
Iroquois Mental Health Center
- Community/Behavioral Health Agency
- Cissna Park, IL
National Provider Identifier
1811277320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 04080
- Legal business name
- IROQUOIS MENTAL HEALTH CENTER
- Practice address
- 141 West Garfield Ave
Cissna Park, IL 60924 - Phone
- (815) 432-5241
- Fax
- (815) 432-4537
- NPI assigned
- Aug 29, 2011
- Organization subpart
- No
National Provider Directory
National Provider Directory- Tax ID family
- Iroquois Mental Health Center
Other organizations with this tax ID 30
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- Substance Use Disorder Rehabilitation Clinic/Center
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- Substance Use Disorder Rehabilitation Clinic/Center
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- Substance Use Disorder Rehabilitation Clinic/Center
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- Substance Use Disorder Rehabilitation Clinic/Center
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NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis P. Hopkins, PSYD., MA
- Title
- Executive Director
- Phone
- (815) 432-5241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 04080 | IL | Primary |
Addresses
Primary practice location
141 West Garfield Ave
Cissna Park, IL 60924
Mailing address
323 W Mulberry St
P.O. Box 322
Watseka, IL 60970-1568
Phone (815) 432-5241
NPI Registry JSON
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314835200000",
"number": "1811277320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 W MULBERRY ST",
"address_2": "P.O. BOX 322",
"city": "WATSEKA",
"state": "IL",
"postal_code": "609701568",
"telephone_number": "815-432-5241",
"fax_number": "815-432-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 WEST GARFIELD AVE",
"city": "CISSNA PARK",
"state": "IL",
"postal_code": "60924",
"telephone_number": "815-432-5241",
"fax_number": "815-432-4537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IROQUOIS MENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-29",
"last_updated": "2011-09-01",
"status": "A",
"authorized_official_last_name": "HOPKINS",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "815-432-5241",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD., MA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "04080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cissna Park, IL
- Cissna Park Fire Protection District Iroquois County Illinois
- Gibson Community Hospital Association
- Gibson Community Hospital Association
- Hoopeston Community Memorial Hospital
- Iroquois Mental Health Center
- Aaron Daniel McCray, FNP
- Sunita Rueb
- Shane T Stachura, PT, MPT
- The Residential Developers, Inc.
- Michael Young, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.