NPIMap

Organization Active NPI

Iroquois Mental Health Center

  • Community/Behavioral Health Agency
  • Watseka, IL
National Provider Identifier
1871674101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IROQUOIS MENTAL HEALTH CENTER
Practice address
323 W Mulberry St
Watseka, IL 60970-1568
Phone
(815) 432-5241
Fax
(815) 432-4537
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dennis P Hopkins, MBA, PSY.D.
Title
Executive Director
Phone
(815) 432-5241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

323 W Mulberry St
Watseka, IL 60970-1568

Mailing address

323 W Mulberry St
PO Box 322
Watseka, IL 60970-1568
Phone (815) 432-5241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006000602 IL Part B Supplier - Clinic/Group Practice 4082673025 Receives reassigned benefits from 5 practitioners
Practice locations: Watseka, IL

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

Locations

908 E Cherry St
Watseka, IL 60970

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871674101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W MULBERRY ST",
            "address_2": "PO 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": "323 W MULBERRY ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701568",
            "telephone_number": "815-432-5241",
            "fax_number": "815-432-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "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_credential": "MBA, PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watseka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.