Organization Active NPI

Iroquois Mental Health Center

  • Community/Behavioral Health Agency
  • Cissna Park, IL
National Provider Identifier
1811277320
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
04080 Issued in IL
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 Center31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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)CodeLicenseStatePrimary
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

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

{
    "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

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.

Verify at the official NPI Registry.