NPIMap

Organization Active NPI

Cunningham Children's Home of Urbana Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rantoul, IL
National Provider Identifier
1871378976
Registry record updated Aug 28, 2023
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
520 E Wabash Ave Ste 1
Rantoul, IL 61866-3019
Phone
(217) 531-2360
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CUNNINGHAM CHILDREN'S HOME OF URBANA ILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Ms. Shawn Suzette Peterson, MA, MSW
Title
Director of Quality Improvement
Phone
(217) 367-3728

Specialties & licenses 2

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

Addresses

Primary practice location

520 E Wabash Ave Ste 1
Rantoul, IL 61866-3019

Mailing address

701 Devonshire Dr
Champaign, IL 61820-7337
Phone (217) 531-2360

National Provider Directory

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

Other organizations with this tax ID 9

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

Locations

520 E Wabash Ave
Ste 1
Rantoul, IL 61866
Phone (217) 531-2360

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1871378976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207337",
            "telephone_number": "217-531-2360",
            "fax_number": "217-352-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E WABASH AVE STE 1",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618663019",
            "telephone_number": "217-531-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM CHILDREN'S HOME OF URBANA IL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUNNINGHAM CHILDREN'S HOME OF URBANA IL",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-25",
        "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",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rantoul, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.